[1]李龚龙,乔庆东,王华礼,等.输尿管软镜碎石术与经皮肾镜碎石术治疗鹿角形肾结石疗效比较[J].新乡医学院学报,2016,33(8):692-694.[doi:10.7683/xxyxyxb.2016.08.011]
　LI Gong-long,QIAO Qing-dong,WANG Hua-li,et al.Comparison of the efficacy of flexible ureteroscopy and percutaneous nephrolithotomy in treatment of renal staghorn calculi[J].Journal of Xinxiang Medical University,2016,33(8):692-694.[doi:10.7683/xxyxyxb.2016.08.011]
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输尿管软镜碎石术与经皮肾镜碎石术治疗鹿角形肾结石疗效比较
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
33
期数:
2016年8
页码:
692-694
栏目:
临床研究
出版日期:
2016-07-27

文章信息/Info

Title:
Comparison of the efficacy of flexible ureteroscopy and percutaneous nephrolithotomy in treatment of renal staghorn calculi
作者:
李龚龙1; 乔庆东1; 王华礼1; 王　磊1; 孙旭东1; 郑艳丽2
（1.新乡市中心医院泌尿外一科，河南　新乡　453000；2.新乡医学院外国语言学系，河南　新乡　453003）
Author(s):
LI Gong-long1; QIAO Qing-dong1; WANG Hua-li1; WANG Lei1; SUN Xu-dong1; ZHENG Yan-li2
（1.Department of Urology，Xinxiang Central Hospital，Xinxiang 453000，Henan Province，China；2.Department of Forein Language，Xinxiang Medical University，Xinxiang 453003，Henan Province，China）
关键词:
输尿管软镜碎石术; 经皮肾镜碎石术; 鹿角形肾结石
Keywords:
flexible ureteroscopy; percutaneous nephrolithotomy; renal staghorn calculi
分类号:
R692.4
DOI:
10.7683/xxyxyxb.2016.08.011
文献标志码:
A
摘要:
目的　比较输尿管软镜碎石术（FURS）与经皮肾镜碎石术（PNL）治疗鹿角形肾结石的临床疗效。方法　选择2014年6月至2016年1月新乡市中心医院收治的42例鹿角形肾结石患者，根据患者意愿分为FURS组（n=22）和PNL组（n=20），对2组患者手术并发症发生率、手术时间、结石清除率、术后住院时间等进行比较。结果　FURS组和PNL组患者手术并发症总发生率分别为18.2%（4/22）和10.0%（2/20），手术时间分别为（127.7±55.9）和（97.9±50.8）min，结石清除率分别为68.2%（15/22）和95.0%（19/20），术后住院时间分别为（5.5±1.1）和（7.0±1.3）d，2组患者手术时间、结石清除率及术后住院时间比较差异均有统计学意义（P<0.05）。结论　FURS和PNL均是鹿角形肾结石有效的治疗方法，PNL有更高的结石清除率、更短的手术时间，而FURS创伤更小、恢复更快、住院时间更短。
Abstract:
Objective　To investigate the clinical curative effect of flexible ureteroscopy（FURS） and percutaneous nephrolithotomy（PNL） in the treatment of renal staghorn calculi.Methods　Forty-two patients with renal staghorn calculi in the Xinxiang Central Hospital from June 2014 to January 2016 were selected and divided into FURS group（n=22） and PNL group（n=20） according to the patients′ wish.The incidence of surgical complications，operation time，stone-free rate，postoperative hospital stay were analyzed and compared between the two groups.Results　The incidence of surgical complication，operation time，stone-free rate，postoperative hospital stay of patients in FURS group were 18.2%(4/22)，（127.7±55.9）min，68.2%(15/22) and（5.5±1.1）d respectively；the operation time，stone-free rate and postoperative hospital stay of patients in PNL group were 10.0%(2/20)，（97.9±50.8）min，95.0%(19/20)，（7.0±1.3）d；there were statistic difference of above indexes of patients between the two groups（P<0.05）.Conclusion　Both FURS and PNL are effective treatment methods for renal staghorn calculi.PNL provides higher stone-free rate and has shorter operation time；FURS provides minimal invasion，faster recovery and short hospitalization time.

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更新日期/Last Update: 2016-08-05