摘要
目的比较分析经皮肾镜碎石术（PCNL）与输尿管软镜碎石术（FUL）治疗直径10~20 mm肾下盏结石的临床疗效。 方法回顾性分析65例单侧直径10~20 mm肾下盏结石患者的临床资料，其中行PCNL治疗30例（PCNL组），FUL治疗35例（FUL组），比较两组手术时间、碎石成功率、手术前后血红蛋白下降值、术后住院时间、住院费用和并发症等。 结果两组患者均顺利完成治疗，术中及术后未发生输尿管穿孔、撕脱等严重并发症。两组碎石成功率、术后高热发生率和术后镇痛率比较差异无统计学意义（P〉0.05）；FUL组手术时间和住院费用明显高于PCNL组[（95.27 ± 22.69）min比（62.25 ± 20.73）min和（17 242 ± 2 679）元比（14 205 ± 1 654）元]，术后血红蛋白下降值和术后住院时间明显低于PCNL组[（0.67 ± 0.33）g/L比（7.98 ± 4.33）g/L和（3.75 ± 0.78）d比（6.54 ± 1.68）d]，差异有统计学意义（P〈0.01）。 结论对于直径10-20 mm的肾下盏结石治疗，PCNL与FUL碎石成功率相似，但FUL创伤更小，术后住院时间更短，但费用相对高。
Objective To compare the clinical therapeutic effect of percutaneous nephrolithotomy （PCNL） and flexible ureteroseope lithotripsy （FUL） for unilateral lower-ealyceal calculi with the diameter of 10 - 20 mm. Methods The clinical data of 65 patients with unilateral lower-ealyceal calculi with the diameter of 10 - 20 mm were retrospectively analyzed. Thirty cases were treated with PCNL （PCNL group）, and 35 cases were treated with FUL （FUL group）. The operative time, success rate of lithotomy, haemoglobin decrease after operation, postoperative hospital stay, hospitalization expenses and complication were compared between 2 groups. Results Treatment was completed successfully in the patients of 2 groups, without ureteral perforation, avulsion and other serious complications intraoperatively and postoperatively. There were no statistical differences in success rate of lithotripsy, incidence of high fever after operation and postoperative analgesia rate between 2 groups （P 〉 0.05）. The operative time and hospitalization expenses in FUL group were significantly higher than those in PCNL group： （95.27 ± 22.69） min vs. （62.25 ± 20.73） min and （17 242 ± 2 679） yuan vs. （14 205 ± 1 654） yuan, and the haemoglobin decrease after operation and postoperative hospital stay time were significantly lower than those in PCNL group ： （0.67 ± 0.33） g/L vs. （7.98 ± 4.33） g/L and （3.75 ± 0.78） d vs. （6.54 ±1.68） d, and there were statistical differences （P 〈 0.05）. Conclusions For the treatment of lower- calyceal calculi with the diameter of 10 - 20 ram, the success rates of lithotripsy of PCNL and FUL are similar. FUL has less trauma, with shorter postoperative hospital stay time, but the cost is relatively high.
出处
《中国医师进修杂志》
2016年第12期1076-1079,共4页
Chinese Journal of Postgraduates of Medicine
关键词
肾结石
肾造口术
经皮
输尿管镜
回顾性研究
Kidney calculi
Nephrostomy, percutaneous
Ureteroscopes
Retrospective studies
