关键词: 输尿管上段复杂结石, 逆行输尿管镜, 经皮肾镜碎石术, 后腹腔镜输尿管切开取石术

Abstract: [Abstract] Objective To explore the choice of different micro channel endoscopic operation mode for the treatment of upper ureteral complicated calculi characteristics and clinical therapeutic effect. Methods Retrospective analysis method, to our hospital urology patients as the research object, to accept the retrograde ureteroscopy ( URL ), minimally invasive percutaneous nephrolithotomy ( MPCNL ) and retroperitoneal laparoscopic ureterolithotomy ( RLU ) patients, observation and tracking, through its clinical effects, recovery to compare3 methods of treatment for stone clearance rate, success rate and complications. Results in the 101 patients,21 cases of URL patients,1 successful operation in 12 cases,2cases of patients undergo ureteroscopic intubation, unable to reach the position of stones, after January the stone-free rate was 85%, the complication rate was 9%; MPCNL in treatment of 60 patients with all1 successful operation, the stone-free rate was 100%, treatment of 20 cases without complications; RLU,1operation success rate of 100% stones in a single take as much as, without complication. Postoperative follow-up in 75 cases, follow-up time of 1to 2 years, no recurrence. Conclusion the 3minimally invasive operation manner and effect are exact and positive. But each has advantages and disadvantages, should according to the clinical needs and the actual situation of the hospital treatment options.

Key words: upper ureteral complicated calculi, retrograde ureteroscopy, percutaneous nephrolithotomy, retroperitoneal laparoscopic ureterolithotomy laparoscopic ureterolithotomy