[1]朱　峰,范毛川,陈帅奇,等.输尿管软镜与微创经皮肾镜碎石术治疗直径≤2 cm肾结石的对比分析[J].新乡医学院学报,2016,33(6):533-535.[doi:10.7683/xxyxyxb.2016.06.025]
　ZHU Feng,FAN Mao-chuan,CHEN Shuai-qi,et al.Comparative analysis of the flexible ureteroscopic lithotripsy and minimally inasive percutaneous nephrolithotomy for renal calculi ≤ 2 cm in size[J].Journal of Xinxiang Medical University,2016,33(6):533-535.[doi:10.7683/xxyxyxb.2016.06.025]
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输尿管软镜与微创经皮肾镜碎石术治疗直径≤2 cm肾结石的对比分析
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
33
期数:
2016年6
页码:
533-535
栏目:
临床研究
出版日期:
2016-06-05

文章信息/Info

Title:
Comparative analysis of the flexible ureteroscopic lithotripsy and minimally inasive percutaneous nephrolithotomy for renal calculi ≤ 2 cm in size
作者:
朱　峰; 范毛川; 陈帅奇; 余沁楠; 李建昌; 张会清
（新乡医学院第一附属医院泌尿外科，河南　卫辉　453100）
Author(s):
ZHU Feng; FAN Mao-chuan; CHEN Shuai-qi; YU Qin-nan; LI Jian-chang; ZHANG Hui-qing
（Department of Urinary Surgery，the First Affiliated Hospital of Xinxiang Medical University，Weihui 453100，Henan Province，China）
关键词:
输尿管软镜; 微创经皮肾镜碎石术; 肾结石
Keywords:
flexible ureteroscopic; minimally invasive percutaneous nephrolithotomy; renal calculi
分类号:
R699.4
DOI:
10.7683/xxyxyxb.2016.06.025
文献标志码:
A
摘要:
目的　对比分析输尿管软镜碎石术（F-URS）与微创经皮肾镜碎石术（Mini-PCNL）治疗直径≤2 cm肾结石的临床疗效。方法　回顾性分析2013年4月至2015年8月新乡医学院第一附属医院收治的117例直径≤2 cm肾结石患者的临床资料及治疗方法，其中54例采用F-URS（F-URS组），63例采用Mini-PCNL（Mini-PCNL组），比较分析2组患者的碎石时间、结石清除率、住院时间、住院费用和并发症发生情况。结果　F-URS组碎石时间为（43.0±28.3）min，初始结石清除率为73.93%，3个月结石清除率为92.57%，住院时间为（3.0±1.7）d，住院费用为（15 483.0±1 186.35）元；Mini-PCNL组碎石时间为（38.0±26.5） min，初始结石清除率为91.42%，3个月结石清除率为93.56%，住院时间为（6.0±2.6）d，住院费用为（23 158.0±698.2）元。2组患者碎石时间和3个月结石清除率比较差异无统计学意义（P>0.05）；初始结石清除率、住院时间及住院费用比较差异均有统计学意义（P<0.05）。F-URS 组患者术后出现发热3例；Mini-PCNL组患者术后出现发热3例，术中出血1例，造瘘管压迫止血痊愈，术后明显出血1例，经选择性肾动脉栓塞治愈。结论　F-URS结石清除率与Mini-PCNL相近，且F-URS具有创伤小，住院时间短，费用低及并发症少的优势，可作为直径≤2 cm肾结石的首选治疗。
Abstract:
Objective　To compare the therapeutic efficacy of the flexible ureterscopic lithotripsy （F-URS） and minimally invasive percutaneous nephrolithotomy （Mini-PCNL） for treatment of patients with renal calculi ≤2 cm.Methods　The clinical data and therapeutic method of 117 patients with renal calculi （≤2 cm） who from the First Affiliated Hospital of Xinxiang Medical University from April 2013 to August 2015 were analysed retrospectively.Fifty-four patients were treated with F-URS（F-URS group），while the other sixty-three patients were treated with Mini-PCNL（Mini-PCNL group）.The operation time，stone clearance rate，hospital stay，hospitalization expense and complications were compared between the the two groups.Results　The operation time of patients in F-URS group and Mini-PCNL group was （43.0±28.3） min and（38.0±26.5）min respectively；the initial stone clearance rate of patients in F-URS group and Mini-PCNL group was 73.93% and 91.42% respectively；the clearance rate after postoperative three months of patients in F-URS group and Mini-PCNL group was 92.57% and 93.56% respectively；the average hospital stay of patients in F-URS group and Mini-PCNL group was （3.0±1.7）d and（6.0±2.6）d respectively；and the hospitalization expense of patients in F-URS group and Mini-PCNL group was （15 483.0±1 586.35）RMB and（23 158.0±698.2）RMB；there were no statistic difference of operation time and clearance rate after postoperative 3 months between the two groups（P>0.05）；there were statistic difference of the initial stone clearance rates，average hospital stay，hospitalization expense between the two groups（P<0.05）.In F-URS group，three patients occurred fever after operation；in Mini-PCNL group，three patients occurred fever after operation，one patient occurred intraoperative hemorrhage which was cured by fistula oppression，and one patient occurred postoperative hemorrhage which was cured by selective renal artery embolization.Conclusion　The effect of F-URS is equivalence to Mini-PCNL in the stone clearance rate，and F-URS has the advantages of less trauma and complication，fewer hospital stay and lower expenses.F-URS should be as the preferred treatment method for renal calculi ≤2 cm.

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更新日期/Last Update: 2016-06-05