Comparison of three minimally invasive surgical methods in treatment of impacted upper-ureteral calculi
10.3760/cma.j.issn.1671-7368.2017.09.014
- VernacularTitle:三种微创手术方法治疗输尿管上段嵌顿性结石的疗效比较
- Author:
Yunyan WANG
;
Bing ZHONG
;
Junsong MENG
;
Xiaosong YANG
;
Peijin HOU
;
Lu JI
- Keywords:
Ureteral calculi,upper;
Lithotripsy,Ureteroscopy;
Nephrolithotomy,percutaneous;
Laparoscopy
- From:
Chinese Journal of General Practitioners
2017;16(9):710-712
- CountryChina
- Language:Chinese
-
Abstract:
One hundred and fifty patients with impacted upper-ureteral calculi were treated with ureteroscopic lithotripsy (URSL group,n =58),percutaneous nephrolithotomy (PCNL group,n =42) or retroperitoneal laparoscopic ureterolithotomy (RPLU group,n =50) from April 2011 to August 2015.The operative time,length of postoperative hospital stay,stone-free rate and the incidence of postoperative complications were observed and compared among three groups.The stone-free rate of URSL group one month after surgery was 77％,which was significantly lower than PCNL (95％) and RPLU groups (100％) (P ＜ 0.05).But the operative time and length of postoperative hospital stay of URSL group [(37.2 ± 5.6)min,(3.9-±0.8)d] were significantly shorter than PCNL group[(75.2 ±6.7) min,(7.9 ±0.9))d] and RPLU group [(65.3 ± 6.1) min,(8.7 ± 0.9) d] (all P ＜ 0.05).The postoperative complication rates of three groups were 8％,10％ and 10％,respectively.
