摘要
目的探讨MPCNL(单通道微创经皮肾镜)与f-URS(输尿管软镜)联合治疗鹿角形肾结石的临床意义。方法回顾性分析2019年3月—2021年12月收治的120例单侧鹿角形肾结石患者的临床资料。按手术方式分组:MPCNL(MPCNL组)、f-URS激光碎石(f-URS组)、MPCNL与f-URS联合(联合组)。分析并比较3组术后并发症及取石率。结果共纳入120例鹿角形肾结石患者,其中MPCNL组40例,f-URS组37例,联合组43例。术后3 d,MPCNL组结石完全脱除率为75.00%,f-URS组为59.46%,联合组为86.05%(P=0.025)。联合组的手术时间、术中出血量、住院时间均显著低于MPCNL组(P<0.001)。随访3个月后无中期并发症报告。结论在鹿角形肾结石的治疗中,MPCNL联合f-URS钬激光碎石术在侧卧斜仰截石位的应用是一种值得推广的术式。
Objective To investigate the clinical significance of single-channel MPCNL(minimally invasive percutaneous nephrolithotomy)combined with f-URS(flexible ureteroseopic lithotripsy)in the treatment ofstaghorn renal calculi.Methods This study retrospectively analyzed the clinical data of 120 patients with unilateral staghorn renal calculi admitted from March 2019 to December 2021.According to the surgical method,the patients were divided into MPCNL group,f-URS group,and combination group(MPCNL combined with f-URS).The postoperative complications and stone extraction rates of the three groups were analyzed and compared.Results A total of 120 patients with staghorn renal calculiwere included,with 40 patients in MPCNL group,37 patients in f-URS group,and 43 patients in combination group.Three days after surgery,the total stone removal rate was 75.00%in the MPCNL group,59.46%in the f-URS group and 86.05%in the combination group(P=0.025).The operative time,intraoperative bleeding volume and hospital stay in the combined group were significantly lower than those in the MPCNL group(P<0.001).No midterm complications were reported after 3 months of follow-up.Conclusion In the treatment of staghorn renal calculi,the application of MPCNL combined with f-URS holmium laser lithotripsy in lateral recumbent oblique lithotomy position is a surgical procedure worthy of promotion.
作者
张志甫
廖科诚
卢国平
陈远波
黄东军
Zhang Zhifu;Liao Kecheng;Lu Guoping;Chen Yuanbo;Huang Dongjun(Department of Urinary Surgery,Guangxi Minzu Hospital,The Affiliated Ethnic Hospital of Guangxi Medical University,Nanning 530001,Guangxi,China)
出处
《右江民族医学院学报》
2022年第3期423-426,452,共5页
Journal of Youjiang Medical University for Nationalities
基金
广西卫健委科研计划项目(Z20201287)。
关键词
鹿角形肾结石
经皮肾镜取石术
输尿管软镜碎石术
staghorn renalcalculi
percutaneous nephrolithotomy
flexible ureteroseopic lithotripsy
