目的：对比经皮肾镜碎石取石术（ PCNL）和后腹腔镜输尿管切开取石术（ RLU）治疗单侧输尿管上段嵌顿性结石的疗效。方法选取2006年6月—2013年12月在厦门市第二医院行PCNL或RLU治疗单侧输尿管上段嵌顿性结石的患者153例，PCNL组83例和RLU组70例，对比两组的住院时间、手术时间、术中出血量、术后恢复时间、Ⅰ期清除率及住院费用；并记录两组手术情况。结果 PCNL组和RLU组术中出血量、Ⅰ期清除率比较，差异无统计学意义（P>0.05）；PCNL组住院时间、手术时间和术后恢复时间均较RLU组短（P<0.05）；PCNL组住院费用高于RLU组（P<0.05）。两组均无中转开腹手术。结论两种手术方式治疗单侧输尿管上段嵌顿性结石均安全有效，但PCNL具有住院时间短、手术时间短、术后恢复时间快等优点，值得临床推广。%Objective To compare the curative effect of percutaneous nephrolithotomy( PCNL)and retroperitoneal laparoscopic ureterolithotomy( RLU)in the treatment of unilateral incarcerate upper ureteric calculus. Methods 153 cases of u-nilateral incarcerate upper ureteric calculus admitted to the Second Hospital of Hospital from June 2006 to December 2013 were given PCNL or RLU treatment,with 83 cases in the PCNL group and 70 cases in the RLU group. The hospital stay,operation time,intraoperative hemorrhage,postoperative recovery time,stage Ⅰ clearance rate and hospital fees were compared between the two groups. Besides,record surgical cases of two groups. Results The intraoperative hemorrhage and stageⅠclearance rate between the PCNL group and RLU group showed no statistically significant difference(P>0. 05). The hospital stay,operation time and postoperative recovery time of the PCNL group were all shorter than those of the RLU group(P<0. 05),and the hospi-tal fee of the PCNL group was more than that of the RLU group ( P<0. 05 ) . No case in the two groups turned to open opera-tion. Conclusion Both PCNL and RLU are safe and effective in the treatment of unilateral incarcerate upper ureteric calculus. However,PCNL has advantages like shorter hospital stay,operation time and postoperative recovery time,and should be promoted in clinic.
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