摘要
目的:比较经皮肾镜、输尿管软镜及智能控压吸引系统联合输尿管软镜治疗>2 cm肾结石的安全性及有效性。方法:收集2019年1月至2022年3月重庆医科大学附属第一医院泌尿外科采用经皮肾镜、输尿管软镜及智能控压吸引系统联合输尿管软镜治疗>2 cm肾结石的90例患者(每组30例),比较3组手术时间、术中出血量、术后住院时间、住院费用、手术并发症发生情况及术后1个月结石清除率。结果:经皮肾镜组手术时间为(54.1±22.7)min,输尿管软镜组为(53.9±27.0)min,短于智能控压吸引系统联合输尿管软镜组的(81.0±28.2)min,有统计学差异(P<0.05)。输尿管软镜组术中出血量为(3.2±2.1)mL,智能控压吸引系统联合输尿管软镜组为(5.7±4.5)mL,少于经皮肾镜组的(16.1±17.2)mL,有统计学差异(P<0.05)。输尿管软镜组术后住院时间为(1.2±0.5)d,智能控压吸引系统联合输尿管软镜组为(1.5±1.7)d,短于经皮肾镜组的(6.4±5.2)d,有统计学差异(P<0.05)。智能控压吸引系统联合输尿管软镜组住院费用为(2.3±0.4)万元,少于输尿管软镜组的(2.7±0.4)万元,有统计学差异(P<0.05);经皮肾镜组为(2.6±0.7)万元,与其余2组无统计学差异(P>0.05)。输尿管软镜组发热发生率为33.3%,高于经皮肾镜组的10.0%,智能控压吸引系统联合输尿管软镜组为3.3%,有统计学差异(P<0.05)。经皮肾镜组肾盏撕裂出血发生率为3.3%,输尿管软镜组为0.0%,智能控压吸引系统联合输尿管软镜组为0.0%,无统计学差异(P>0.05)。智能控压吸引系统联合输尿管软镜组肾盂肾盏黏膜损伤发生率为3.3%,低于经皮肾镜组的26.7%和输尿管软镜组的40.0%,有统计学差异(P<0.05)。经皮肾镜组肾周血肿发生率为3.3%,输尿管软镜组为0.0%,智能控压吸引系统联合输尿管软镜组为0.0%,无统计学差异(P>0.05)。经皮肾镜组术后1个月结石清除率为73.3%,输尿管软镜组为20.0%,智能控压吸引系统联合输尿管软�
Objective:To compare the safety and efficacy of percutaneous nephrolithotomy,flexible ureteroscope,and intelligent pressure-controlled suction system combined with flexible ureteroscope in the treatment of kidney stones with diameter>2 cm.Methods:The clinical data of 90 patients(30 cases per group)with kidney stones with diameter>2 cm treated by percutaneous nephrolithotomy,flexible ureteroscope,and intelligent pressure-controlled suction system combined with flexible ureteroscope from January 2019 to March 2022 in Department of Urology,The First Affiliated Hospital of Chongqing Medical University were collected.The operation time,the intraoperative bleeding volume,the postoperative hospitalization time,the hospitalization cost,the incidence of surgical com⁃plications,and the stone clearance rate in 1 month after operation were compared among the three groups.Results:The operation time in the percutaneous nephrolithotomy group([54.1±22.7)min]and the flexible ureteroscope group([53.9±27.0)min]was shorter than that in the intelligent pressure-controlled suction system combined with flexible ureteroscope group([81.0±28.2)min]with statistical differences(P<0.05).The intraoperative bleeding volume in the flexible ureteroscope group([3.2±2.1)mL]and the intelligent pressure-controlled suction system combined with flexible ureteroscope group([5.7±4.5)mL]was less than that in the percutaneous nephrolithotomy([16.1±17.2)mL]with statistical differences(P<0.05).The postoperative hospitalization time in the flexible ureteroscope group([1.2±0.5)d]and the intelligent pressure-controlled suction system combined with flexible ureteroscope group([1.5±1.7)d]was shorter than that in the percutaneous nephrolithotomy group([6.4±5.2)d]with statistical differences(P<0.05).The hospitalization cost in the intelligent pressure-controlled suction system com⁃bined with flexible ureteroscope group([2.3±0.4)ten-thousand yuan]was less than that in the flexible ureteroscope group([2.7±0.4)ten-thousand yuan yuan]with statistical di
作者
王杰
彭钺强
赵鑫
昌亮亮
唐伟
Wang Jie;Peng Yueqiang;Zhao Xin;Chang Liangliang;Tang Wei(Department of Urology,The First Affiliated Hospital of Chongqing Medical University;Department of Urology,The Affiliated Hospital of Southwest Medical University)
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2023年第3期322-327,共6页
Journal of Chongqing Medical University
关键词
经皮肾镜
输尿管软镜
智能控压
吸引系统
肾结石
percutaneous nephrolithotomy
flexible ureteroscope
intelligent pressure control
suction system
kidney stone
