膀胱软镜辅助下腹腔镜肾盂切开取石术治疗复杂性肾结石的疗效及其安全性评价

发布时间：2018-04-26 03:01

本文选题：肾结石 + 腹腔镜肾盂切开取石术　；参考：《吉林大学学报(医学版)》2016年06期

【摘要】：目的:比较膀胱软镜辅助下腹腔镜肾盂切开取石术(LPLFC)和标准通道经皮肾镜碎石取石术(PCNL)处理复杂肾结石的疗效,并评价其安全性。方法:62例复杂性肾结石患者随机分为LPLFC组(n=31)和PCNL组(n=31),LPLFC组患者采用LPLFC治疗,PCNL组患者采用PCNL治疗,比较2组患者的手术时间、住院时间、术后血红蛋白下降值、并发症发生情况和一期结石取尽率。结果:2组患者均顺利完成手术。LPLFC组中有8例患者同时并发患侧肾或肾上腺疾病,同期在腹腔镜下处理。LPLFC组患者手术时间明显短于PCNL组(t=18.3,P0.01),且LPLFC组患者术后平均血红蛋白下降值明显低于PCNL组(t=33.2,P0.01);PCNL组中有5例(16.1%)患者因术中出血,需要输血治疗。2组患者的住院时间和一期结石取尽率比较差异无统计学意义(t=21.2,P=0.70;t=21.9,P=0.71)。结论:LPLFC处理复杂性肾结石创伤小、出血量少、手术时间短,手术安全性高。
[Abstract]:Objective: to compare the efficacy and safety of laparoscopic pyelolithotomy (LPLFC) and standard channel percutaneous nephrolithotripsy (PCNL) in the treatment of complex renal calculi. Methods Sixty-two patients with complex renal calculi were randomly divided into two groups: LPLFC group (n = 31) and PCNL group (n = 31). The patients in LPLFC group were treated with PCNL. The operation time, hospital stay and hemoglobin decreased after operation were compared between the two groups. Complications and primary stone removal rate. Results eight of the patients in the two groups were complicated with renal or adrenal diseases, and 8 of the patients in the LPLFC group were complicated with renal or adrenal diseases at the same time. At the same time, the operative time of LPLFC group was significantly shorter than that of PCNL group, and the mean hemoglobin decrease in LPLFC group was significantly lower than that in PCNL group. There was no significant difference in hospitalization time and stone removal rate between group 2 and group 2. There was no significant difference between two groups. Conclusion the treatment of complex renal calculi with small trauma, less blood loss, short operation time and high safety.
【作者单位】：中山大学附属第三医院泌尿外科;广东省广州市白云区第一人民医院泌尿外科;
【基金】：广东省自然科学基金面上项目资助课题(s2013010011540)
【分类号】：R699.2

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