摘要
目的:探讨微通道经皮肾镜碎石术(MPCNL)和输尿管软镜碎石术(FURS)对直径2~3 cm单发肾盂结石患者疗效及安全性的影响,为后续手术方案的选择提供参考。方法:回顾性分析郧西县人民医院2016年1月-2019年1月收治173例直径2~3 cm单发肾盂结石患者的临床资料,其中行MPCNL治疗93例设为MPCNL组,行FURS治疗80例设为FURS组;比较两组结石清除率、手术相关指标水平、术后炎症相关因子水平及术后并发症发生率。结果:两组结石清除率差异无统计学意义(P>0.05);FURS组手术用时和总治疗费用均显著多于MPCNL组(P<0.05);FURS组Hb下降值和住院时间均显著少于MPCNL组(P<0.05);两组术后炎症相关因子水平比较差异无统计学意义(P>0.05);两组术后并发症发生率比较差异无统计学意义(P>0.05)。结论:FURS治疗直径2~3 cm单发肾盂结石在结石清除效果和安全性方面与MPCNL一致,并能够减轻医源性创伤和缩短术后住院时间,具有临床应用价值。
Objective:To investigate the clinical efficacy and safety of MPCNL and FURS for pyelolithiasis with diameter of 2-3 cm.Methods:The clinical data of 173 cases of pyelolithiasis with diameter of 2-3 cm were retrospectively analyzed in the period from January 2016 to January 2019 in our hospital.The patients were divided into two groups including MPCNL group(n=93 given MPCNL)and FURS group(n=80 given FURS).The lithiasis clearance rate,the levels of surgical related indicators,inflammatory related factors after operation and incidence of postoperative complications were compared between two groups.Results:There was no significant difference in the lithiasis clearance rate between 2 groups(P>0.05).The operation time and total treatment cost in FURS group were significantly increased as compared with those in MPCNL group(P<0.05).The Hb decline level and hospitalization time in FURS group were significantly reduced as compared with those in MPCNL group(P<0.05).There was no significant difference in the inflammatory related factors and the incidence of postoperative complications after operation between 2 groups(all P>0.05).Conclusion:Compared with MPCNL,FURS in the treatment of pyelolithiasis with diameter of 2-3 cm possesses the same lithiasis clearance effects and safety,and can efficiently alleviate iatrogenic trauma degree and shorten hospitalization time.
作者
吴运海
郝强
胡彬
贾洪涛
WU Yunhai;HAO Qiang;HU Bin;JIA Hongtao(Department of Urology,People's Hospital of Yunxi County,Shiyan 442600,China;Department of Urology,People's Hospital of Shiyan City)
出处
《微创泌尿外科杂志》
2020年第3期166-170,共5页
Journal of Minimally Invasive Urology
关键词
微通道经皮肾镜
输尿管软镜
肾盂结石
microchannel percutaneous nephroscopy
flexible ureteroscope
pyelolithiasis
