Abstract：Objective: To analyze the surgical outcome and complications of the treatment of upper ureteral calculi with ureteroscopy holmium laser surgery assisted by N-Trap and percutaneous nephrolithotomy (PCNL). Methods: Ninety-two cases of upper ureteral calculi were treated with ureteroscopy holmium laser surgery assisted by N-Trap and PCNL. A further comparison of calculus clearance rate, post-operative length of stays, and occurrence rate of complications was carried out. Results: The treatment method could be tolerated by all patients without serious complications. Calculus clearance rate and complication occurrence rate in patients treated with PCNL and ureteroscopy holmium laser surgery were 97.7% and 93.8%, 15.6% and 2.1%, respectively. Conclusions: The treatment method of ureteroscopy holmium laser surgery assisted by N-Trap was characterized by mild trauma and quick recovery. As to calculus clearance, the method was more suitable for the sort of calculus at a lower position and with smaller diameter. And PCNL was more suitable for calculus at a higher position; however, it tended to cause larger trauma and higher occurrence rate of complications.
吴永平,孙浩,陈兵海,郭涛,陶美满. 拦截网篮配合输尿管镜钬激光和微创经皮肾镜治疗输尿管上段结石的疗效比较[J]. 微创泌尿外科杂志, 2015, 4(1): 31-33.
Wu Yongping, Sun Hao, Chen Binghai, Guo Tao, Tao Meiman. Comparison of minimally invasive percutaneous nephrolithotomy vs. ureteroscopy with N-trap in the management of upper ureteral stone. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2015, 4(1): 31-33.
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