输尿管软镜碎石术与微创经皮肾镜碎石术治疗孤立肾结石对比观察

发布时间：2018-04-27 08:31

  本文选题：输尿管软镜碎石术 + 经皮肾镜碎石术　； 参考：《山东医药》2015年19期

【摘要】：目的比较输尿管软镜碎石术(F-URS)与微创经皮肾镜碎石术(M-PCNL)治疗孤立肾结石的效果。方法 53例孤立肾结石患者,其中22例接受F-URS治疗(F-URS组)、31例接受M-PCNL治疗(M-PCNL组),观察两组手术时间、术后血红蛋白下降值、术后肠道功能恢复时间、住院时间、结石清除率及并发症发生情况。结果 FURS组、M-PCNL组手术时间分别为(78.2±33.4)、(62.3±23.2)min,术后血红蛋白下降值分别为(1.6±0.7)、(4.3±2.3)g/L,术后肠道功能恢复时间分别为(27.6±15.1)、(36.4±11.3)h,住院时间分别为(4.1±1.1)、(7.6±1.3)d。两组术后血红蛋白下降值、住院时间比较,P均0.01。F-URS组、M-PCNL组一期结石清除率分别为68.2%、93.5%,总清除率分别为86.4%、96.8%,下盏结石一期结石清除率分别为28.6%、90.9%,下盏结石总清除率分别为57.1%、90.9%,直径≤20 mm结石总清除率分别为92.3%、100.0%,直径20 mm结石总清除率分别为75.0%、90.0%。与F-URS组相比,M-PCNL组一期结石清除率、下盏结石一期结石清除率高(P均0.05)。F-URS组、M-PCNL组大出血分别为0、3例,高热分别为3、2例,胸膜损伤分别为0、1例。结论与M-PCNL相比,F-URS治疗孤立肾结石一期结石清除率低,术后血红蛋白下降少、住院时间短,但两者结石总清除率、并发症发生情况无差异。
[Abstract]:Objective to compare the efficacy of F-URS and minimally invasive percutaneous nephrolithotripsy (M-PCNL) in the treatment of solitary renal calculi. Methods Fifty-three patients with isolated renal calculi were treated with F-URS. 31 patients in F-URS group were treated with M-PCNL. The time of operation, the decrease of hemoglobin, the time of recovery of intestinal function and the time of hospitalization were observed. Stone clearance rate and complications. Results in the FURS group, the operative time was 78.2 卤33.4 卤23.2 min, the postoperative hemoglobin decreased was 1.6 卤0.7 卤2.3 g / L, the recovery time of intestinal function was 27.6 卤15.1 卤11.3hand the hospitalization time was 4.1 卤1.1 卤1.3h. The decrease of hemoglobin in the two groups after operation, In 0.01.F-URS group, the primary stone clearance rate was 93.5, the total clearance rate was 86.4mm and 96.8, the lower calyceal stone clearance rate was 28.66.90.9, the lower calyceal stone removal rate was 57.1%, and the diameter 鈮，

本文编号：1809996