摘要
目的:探讨可视穿刺经皮肾镜取石术(micropercutaneous nephrolithotomy,Microperc)治疗鹿角形结石术后残留结石的安全性及有效性。方法:自2015~2016年,采用可视穿刺经皮肾镜取石术治疗鹿角形结石术后残石16例(Microperc组),采用微创经皮肾镜取石术治疗鹿角形肾结石术后残石12例(mPCNL组),收集两组患者的年龄、残石数目、结石负荷、手术时间、通道数目、清石率、并发症发生率、术后疼痛评分、住院天数进行统计学分析。结果:Microperc组结石清石率高于mPCNL组(87.50%vs.50.00%,P<0.05),术后疼痛评分较mPCNL组为轻[(2.62±2.24)vs.(5.04±3.42),P<0.05],住院时间短于mPCNL组[(3.46±3.03)d vs.(6.88±4.91)d,P<0.05],手术时间长于mPCNL组[(93.75±12.80)min vs.(52.25±8.53)min,P<0.05],术后并发症发生率两组差异无统计学意义(P>0.05)。结论:Microperc治疗鹿角形结石术后残石安全、有效,可提高残石的清石率,缩短住院时间。
Objective：To evaluate the efficacy and safety of the micro-percutaneous nephrolithotomy（Microperc）for the management of residual stones after one-stage percutaneous nephrolithotomy（PCNL）for renal staghorn calculi.Method：Patients with residual stones after one-stage PCNL for renal staghorn calculi treated with microperc（Group-Microperc 16 cases）or mini-PCNL（Group-mPCNL 1 2cases）between 2015 and 2016 were retrospectively analyzed.Parameters of the patients were compared,including age,residual stone number,stone burden,operation time,tract number,stone free rate,complication rate,visual analogue scale and hospital stay etc.Result：In Group-Microperc,the stone free rate（SFR）was significantly higher than that in Group-mPCNL（87.50% vs.50.00%,P〈0.05）,visual analogue scale（VAS）was significantly lower than that in Group-mPCNL [（2.62±2.24）vs.（5.04±3.42）,P〈0.05],hospital stay was significantly shorter than that in GroupmPCNL [（3.46±3.03）vs.（6.88±4.91）days,P〈0.05）],the mean operation time was significantly longer than that in Group-mPCNL[（93.75±12.80）min vs.（52.25±8.53）min,P〈0.05].However,overall complication rates exhibited no statistically significant difference（P〉0.05）.Conclusion：Microperc in the treatment of residual stones after one-stage PCNL for renal staghorn calculi is a safe and effective method,being associated with higher SFR and shorter hospital stay.
作者
杨勇
姚启盛
王黎
陈从波
龚小新
黄力
YANG Yong YAO Qisheng WANG Li CHEN Congbo GONG Xiaoxin HUANG Li(Department of Urology, Taihe Hospital, Affiliated Hospital of Hubei University of Medicine, Shiyan, Hubei, 442000, Chin)
出处
《临床泌尿外科杂志》
2017年第9期698-702,共5页
Journal of Clinical Urology
