摘要
目的探讨后腹腔镜切开取石术与经皮肾碎石取石术治疗复发性肾结石的效果与安全性。方法回顾性分析2018年1月—2021年12月本院收治的112例复发性肾结石患者的临床资料,根据手术方式不同将其分为A组(n=53例)和B组(n=59例)两组。A组行后腹腔镜切开取石术治疗,B组行经皮肾碎石取石术治疗,比较两组患者手术时间、术中出血量、住院时间、住院费用、手术成功率、结石清除率、术前和术后的血肌酐、血尿素氮、血红蛋白水平和术后并发症。结果两组手术时间、手术成功率和结石清除率比较差异均无统计学意义(P>0.05);A组术中出血量、住院时间、住院费用均低于B组(P<0.05);术前两组血肌酐、血尿素氮和血红蛋白水平比较差异无统计学意义(P>0.05),术后A组血肌酐、血尿素氮水平与术前比较差异无统计学意义(P>0.05),B组血肌酐、血尿素氮水平较术前升高(P<0.05),但A组上述指标低于B组(P<0.05);两组血红蛋白水平均较术前降低,但术后两组比较差异无统计学意义(P>0.05);A组术后并发症总发生率低于B组(P<0.05)。结论后腹腔镜切开取石术与经皮肾碎石取石术治疗复发性肾结石效果相当,但后腹腔镜切开取石术相较而言,术中出血量较少,住院时间缩短和住院费用减少,肾损伤较小,有利于患者恢复,且并发症较少。
Objective To investigate the efficacy and safety of retroperitoneal laparoscopic ureterolithotomy and percutaneous nephrolithotomy and lithotomyin the treatment of recurrent renal calculi.Methods The clinical data of 112 patients suffered with recurrent renal calculi those were admitted to our hospital from January 2018 to December 2021 were retrospectively analyzed.They were divided into group A(n=53)and group B(n=59)according to different surgical methods.Patients in group A were treated with retroperitoneal laparoscopic ureterolithotomy,and patients in group B were treated with percutaneous nephrolithotomy and lithotomy.The operation time,intraoperative blood loss,hospitalization time,hospitalization expenses,success rate of operation,stone clearance rate,preoperative and postoperative serum creatinine,blood urea nitrogen,hemoglobin levels and postoperative complications were compared between the two groups.Results There were no significant difference in operation time,success rate of operation and stone clearance rate between the two groups(P>0.05).The intraoperative blood loss,hospitalization time and hospitalization expenses in group A were lower than those in group B(P<0.05).There were no significant difference in the levels of serum creatinine,blood urea nitrogen and hemoglobin between the two groups before operation(P>0.05).There were no significant difference in the levels of serum creatinine and blood urea nitrogen in group A between those before operation and after operation(P>0.05).After operation the levels of serum creatinine and blood urea nitrogen in group B were higher than those before operation(P<0.05),but the above indexes in group A were lower than those in group B(P<0.05).The hemoglobin levels in both groups were lower than those before operation(P<0.05),but there was no significant difference between the two groups after operation(P>0.05).The total incidence of postoperative complications in group A were lower than those in group B(P<0.05).Conclusions Retroperitoneal laparoscopic ureteroli
作者
杨旭东
王宽
杨芒庄
吴硕
Yang Xudong;Wang Kuan;Yang Mangzhuang;Wu Shuo(Department of urology,Yellow river Sanmenxia hospital,Sanmenxia,Henan,472000,China)
出处
《齐齐哈尔医学院学报》
2022年第21期2022-2026,共5页
Journal of Qiqihar Medical University
关键词
复发性肾结石
后腹腔镜切开取石术
经皮肾碎石取石术
安全性
Recurrent kidney stones
Retroperitoneal laparoscopic ureterolithotomy
Percutaneous nephrolithotomy and lithotomy
Security
