| 钬激光输尿管镜下碎石与经皮肾取石治疗嵌顿性输尿管上段结石的比较 |
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| 引用本文： | 高小峰,陈书尚,孙颖浩,王林辉,许传亮,高旭,侯建国.钬激光输尿管镜下碎石与经皮肾取石治疗嵌顿性输尿管上段结石的比较[J].中国微创外科杂志,2007,7(10):944-945,947. |
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| 作者姓名： | 高小峰 陈书尚 孙颖浩 王林辉 许传亮 高旭 侯建国 |
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| 作者单位： | 第二军医大学长海医院泌尿外科,上海,200433 |
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| 摘 要： | 目的比较钬激光输尿管硬镜碎石与经皮肾取石术治疗嵌顿性输尿管上段结石的疗效。方法106例单侧伴有肾积水的嵌顿性输尿管上段结石,48例采用URL治疗（URL组）,58例采用PCNL治疗（PCNL组）,统计分析2组的结石清除率及手术并发症。结果术后1 d结石清除率URL组25.0%（12/48）显著低于PCNL组98.3%（57/58）（χ^2=62.065,P=0.000）;术后3个月结石清除率URL组77.1%（37/48）显著低于PCNL组100%（58/58）（χ^2=14.831,P=0.000）;术后高热（T〉38.5℃）率URL组8.3%（4/48）与PCNL组6.9%（4/58）无统计学差异（χ^2=0.000,P=1.000）。结论对于嵌顿性输尿管上段结石,在有条件且技术成熟的医院PCNL可作为治疗的首选方法。
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| 关 键 词： | 输尿管结石 输尿管镜 经皮肾取石术 |
| 文章编号： | 1009-6604（2007）10-0944-03 |
| 修稿时间： | 2007-01-162007-05-31 |
The Comparison of Transurethral Ureteroscopic Lithotripsy with Holmium Laser and Percutaneous Nephrolithotomy for Impacted Upper Ureteral Calculi |
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| Gao Xiaofeng, Chen Shushang,Sun Yinghao,et al..The Comparison of Transurethral Ureteroscopic Lithotripsy with Holmium Laser and Percutaneous Nephrolithotomy for Impacted Upper Ureteral Calculi[J].Chinese Journal of Minimally Invasive Surgery,2007,7(10):944-945,947. |
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| Authors: | Gao Xiaofeng Chen Shushang Sun Yinghao |
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| Affiliation: | Department of Urology, Changhai Hospital,the Second Military Medical University,Shanghai 200433 ,China |
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| Abstract: | |
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| Keywords: | Ureteral calculi Ureterscope Percutaneous nephrolithotomy |
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