【摘要】 目的 比较微创经皮肾穿刺取石术与经尿道输尿管镜碎石术治疗输尿管上段结石的疗效。方法 从1996年6月～2001年6月，对202例单侧输尿管上段结石的患者，92例采用MPCNL进行治疗;110例采用URL治疗后，46例接受辅助的ESWL治疗。结果 MPCNL组术后3天结石清除率为94.6%(87/92)，术后1个月结石清除率为100%(92/92)。URL术后3天结石清除率为20.9%(23/110)，术后1个月的结石清除率为84.5%(93/110)。结论 微创经皮肾穿刺取石治疗嵌顿性输尿管上段结石有很高的结石清除率;经尿道输尿管镜手术治疗效果稍差，可以联合体外冲击波碎石来提高疗效。

    关键词 输尿管结石 输尿管镜 经皮肾穿刺取石术

    The comparison of minimally invasive percutaneous nephrolithotomy and trans-urethral ureteroscope lithotripsy for upper ureteric calculi

    Ye Xiangdong，Liang Zhixiong

    Department of Urology，Minimally Invasive Surgery Center，the First Affiliated Hospital of Guangzhou Medical College，Guangzhou510230.

    【Abstract】 Objective To investigate the effect of the minimally invasive percutaneous nephrolithotomy in management of upper ureteric calculi，comparing with Trans-urethral ureteroscope lithotripsy.Methods A total of202patients were diagnosed as upper urteric calculi，92patients accepted minimal invasive percutaneous nephrolithoˉtomy，110patients accepted trans-urethral ureteroscope lithotripsy，46patients accepted auxiliary extracorporeal shock wave lithotripsy.The stone-free rate was recorded in3days and1month postoperation.Results After MPCˉNL ......