经皮肾镜碎石术与输尿管软镜碎石术治疗直径10～20mm肾下盏结石的疗效分析
发布时间：2018-08-21 14:26
【摘要】：目的探讨经皮肾镜碎石术(PCNL)与输尿管软镜碎石术(FURL)治疗直径10~20mm肾下盏结石的临床疗效。方法回顾性分析我院2013年1月至2015年1月符合纳入标准的104例肾下盏结石患者的临床资料,其中PCNL组患者58例,FURL组患者46例,比较两组患者手术时间、术后白细胞升高值、术后住院时间、碎石成功率、术后血红蛋白下降值、高热发生率及术后止痛药使用率等指标的差异。结果两组患者在术后白细胞升高值、碎石成功率、术后止痛药使用率及高热发生率的比较差异均无统计学意义(P0.05)。PCNL组手术时间(52.88±16.12)min短于FURL组(85.48±15.10)min,PCNL组术后住院时间(6.12±1.17)d长于FURL组(3.50±0.62)d,PCNL组术后血红蛋白下降值(8.80±4.41)g/L大于FURL组(0.65±0.23)g/L,差异比较均具有统计学意义(P0.05)。结论经皮肾镜碎石术与输尿管软镜碎石术用于治疗直径10~20mm的肾下盏结石的总体疗效相当,但输尿管软镜碎石术创伤更小、术后住院时间更短,值得在临床推广应用。
[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 卤16.12) min was shorter than that of FURL group (85.48 卤15.10) min PCNL group (6.12 卤1.17) days longer than that of FURL group (3.50 卤0.62) days, the decrease of hemoglobin in PCNL group (8.80 卤4.41) g / L was higher than that in FURL group (0.65 卤0.23) g / L, the difference was higher than that in FURL group (8.80 卤4.41) g / L vs (0.65 卤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.
【作者单位】： 重庆医科大学附属第二医院泌尿外科;
【基金】：重庆市卫计委科技计划项目资助(No.2013-1-020)
【分类号】：R699.2
，
本文编号：2196029
[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 卤16.12) min was shorter than that of FURL group (85.48 卤15.10) min PCNL group (6.12 卤1.17) days longer than that of FURL group (3.50 卤0.62) days, the decrease of hemoglobin in PCNL group (8.80 卤4.41) g / L was higher than that in FURL group (0.65 卤0.23) g / L, the difference was higher than that in FURL group (8.80 卤4.41) g / L vs (0.65 卤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.
【作者单位】： 重庆医科大学附属第二医院泌尿外科;
【基金】：重庆市卫计委科技计划项目资助(No.2013-1-020)
【分类号】：R699.2
，
本文编号：2196029
本文链接：https://www.wllwen.com/yixuelunwen/mjlw/2196029.html
最近更新
教材专著
