【摘要】：目的探討經(jīng)皮腎鏡碎石術(shù)(PCNL)與輸尿管軟鏡碎石術(shù)(FURL)治療直徑10~20mm腎下盞結(jié)石的臨床療效。方法回顧性分析我院2013年1月至2015年1月符合納入標準的104例腎下盞結(jié)石患者的臨床資料,其中PCNL組患者58例,FURL組患者46例,比較兩組患者手術(shù)時間、術(shù)后白細胞升高值、術(shù)后住院時間、碎石成功率、術(shù)后血紅蛋白下降值、高熱發(fā)生率及術(shù)后止痛藥使用率等指標的差異。結(jié)果兩組患者在術(shù)后白細胞升高值、碎石成功率、術(shù)后止痛藥使用率及高熱發(fā)生率的比較差異均無統(tǒng)計學意義(P0.05)。PCNL組手術(shù)時間(52.88±16.12)min短于FURL組(85.48±15.10)min,PCNL組術(shù)后住院時間(6.12±1.17)d長于FURL組(3.50±0.62)d,PCNL組術(shù)后血紅蛋白下降值(8.80±4.41)g/L大于FURL組(0.65±0.23)g/L,差異比較均具有統(tǒng)計學意義(P0.05)。結(jié)論經(jīng)皮腎鏡碎石術(shù)與輸尿管軟鏡碎石術(shù)用于治療直徑10~20mm的腎下盞結(jié)石的總體療效相當,但輸尿管軟鏡碎石術(shù)創(chuàng)傷更小、術(shù)后住院時間更短,值得在臨床推廣應用。
[Abstract]:Objective to evaluate the clinical efficacy of percutaneous nephrolithotripsy (PCNL) and soft ureteral lithotripsy (FURL) in the treatment of subrenal calyceal stones with diameter 10~20mm. Methods the clinical data of 104 patients with subrenal calyceal calculi in our hospital from January 2013 to January 2015 were analyzed retrospectively, including 58 patients in PCNL group and 46 patients in FUR-treated group. The operation time and leukocyte elevation were compared between the two groups. The difference of hospital stay, the success rate of lithotripsy, the decrease of hemoglobin, the incidence of high fever and the usage rate of postoperative painkillers. Results the leukocyte increased and the success rate of lithotripsy were observed in the two groups. There was no significant difference in postoperative analgesic use rate and high fever incidence (P0.05). The operative time of PCNL group (52.88 鹵16.12) min was shorter than that of FURL group (85.48 鹵15.10) min PCNL group (6.12 鹵1.17) days longer than that of FURL group (3.50 鹵0.62) days, the decrease of hemoglobin in PCNL group (8.80 鹵4.41) g / L was higher than that in FURL group (0.65 鹵0.23) g / L, the difference was higher than that in FURL group (8.80 鹵4.41) g / L vs (0.65 鹵0.23) g / L). The difference was statistically significant (P0.05). Conclusion the total curative effect of percutaneous nephrolithotripsy is comparable to that of soft ureteral lithotripsy in the treatment of lower calyceal calculi with diameter 10~20mm, but the trauma of ureteral lithotripsy is less and the hospital stay is shorter, so it is worth popularizing in clinic.
【作者單位】： 重慶醫(yī)科大學附屬第二醫(yī)院泌尿外科;
【基金】：重慶市衛(wèi)計委科技計劃項目資助(No.2013-1-020)
【分類號】：R699.2
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本文編號：2196029