摘要
【目的】比较后腹腔镜肾窦内肾盂切开取石术(RLIP)及经皮肾镜碎石取石术(PCNL)治疗肾盂单发结石的有效性及安全性。【方法】回顾我院自2012年03月至2016年09月收治的101例肾盂单发结石患者,按治疗方式分为RLIP组(46例)及PCNL组(55例),并比较两组患者在临床疗效上的差异。【结果】两组患者在年龄、性别、结石患侧及结石大小方面无统计学差异。RLIP组手术时间虽然长于PCNL组,但结石清除率明显高于PCNL组(P<0.05)。RLIP组在术后泌尿系感染并发症方面优于PCNL组(P<0.05),但两组在术后出院时间、术后发热(>38.5℃)、血红蛋白及肾小球滤过率下降值方面,均无显著性差异。【结论】RLIP相比PCNL具有更好的有效性,且安全性方面也稍优于PCNL,在临床上具有一定的推广价值。
【Objective】To compare the efficacy and safety of retroperitoneal laparoscopic intrasinusal pyelolithotomy（RLIP）and percutaneous nephrolithotomy（PCNL）in the treatment of solitary renal pelvic stone.【Methods】From March 2012 to September2016,101 patients with solitary renal pelvic stone,divided into RLIP group（n = 46）and PCNL group（n = 55）,were retrospectively analyzed to compare the difference between the two groups in clinical curative effect.【Results】There was no difference between the two groups regarding age,sex,stone side and stone size. Although the operative time was significantly longer,the stone-free rate in the RLIP group was significantly higher than that in the PCNL（P〈0.05）. The postoperative complication of urinary tract infection was lower in the RLIP group（P〈0.05）,however,no significant difference was found in postoperative discharge time,fever（38.5℃）and the decrease values of hemoglobin and glomerular filtration rate.【Conclusion】Compared to PCNL,RLIP was more efficient and slight safer in the management of solitary renal pelvic stone,and had a certain value for generalization in clinic.
作者
周家权
刘栓
刘元晓
王阳
徐从杰
康新立
ZHOU Jia-quan LIU Shuan LIU Yuan-xiao WANG Yang XU Cong-jie KANG Xin-li(Department of Urology, Hainan General Hospital, Hainan 570311, China)
出处
《中山大学学报（医学科学版）》
CAS
CSCD
北大核心
2017年第1期118-121,132,共5页
Journal of Sun Yat-Sen University:Medical Sciences
基金
海南省医学科研重点课题(2012ZD-07)
