摘要
目的比较输尿管软镜(FURS)下钬激光碎石术与体外冲击波碎石(ESWL)治疗10~20 mm肾下盏结石的主观和客观效果。方法回顾性分析2013年9月-2016年9月该院就诊的FURS下钬激光碎石和ESWL治疗10~20 mm肾下盏结石112例,对比两组再次治疗率、并发症发生率、结石清除率,以及患者主观评分。结果 FURS组结石清除率明显高于ESWL组(86.1%vs 61.8%,P<0.05),ESWL组再次治疗率明显高于FURS组(44.7%vs 8.3%,P<0.05),并发症发生率FURS组高于ESWL组(11.1%vs 7.9%),但两组比较差异无统计学意义(P>0.05)。患者总体满意评分[(2.92±1.24)vs(2.07±1.35)分,P<0.05]和排尿症状评分[(3.87±0.64)vs(2.23±0.73)分,P<0.05],FURS组均高于ESWL组,另有更多的人愿意再次接受FURS的治疗(83.3%vs 55.3%,P<0.05)。结论 FURS因为更高的结石清除率和较低的再次手术率优于ESWL,并且FURS能获得更高的患者满意度。
Objective To compare the subjective and objective outcomes of flexible ureterorenoscopy （F-URS） and extracorporeal shock wave lithotripsy （ESWL） for the treatment of inferior calyceal calculi between 10 to 20 mm. Method A retrospective analysis was performed for inferior calyceal calculi between 10 to 20 mm at our institution on a total of 112 patients treated with holmium laser lithotripsy or ESWL from September 2013 to September 2016. Retreatment rate, complications, stone clearance rate and subjective patient-reported outcomes were compared. Result Stone clearance rate was significantly higher in F-URS group compared with ESWL group （86.1% vs 61.8%, P 〈 0.05）. Retreatment rate （44.7% vs 8.3%, P 〈 0.05） was higher in ESWL. There was no significant difference in complication （11.1% vs 7.9%, P 〉 0.05）. Overall satisfaction score [（2.92 ± 1.24） vs （2.07 ± 1.35）, P 〈 0.05] and voiding symptom score [（3.87 ± 0.64） vs （2.23 ± 0.73）, P 〈 0.05）] were significantly higher in F-URS than ESWL. More patients in F-URS were willing to undergo the procedure again （83.3% vs 55.3%, P〈0.05）. Conclusion For the treatment of intermediate size inferior calyceal calculi,F-URS is superior to ESWL in terms of stone clearance rate, retreatment rate and subjective satisfaction.
作者
罗松涛
朱永生
刘星
刘鑫
唐义权
唐海
陈开发
粟宏伟
Song-tao Luo;Yong-sheng Zhu;Xing Liu;Xin Liu;Yi-quan Tang;Hai Tang;Kai-fa Chen;Hong-wei Su(Department of Urology, Traclitional Ctu＇nese Medicine Hospital affiliated to Southwest Meclical University, Luzhou, Sichuan 646600, Chin)
出处
《中国内镜杂志》
2018年第5期37-41,共5页
China Journal of Endoscopy
关键词
肾下盏结石
输尿管软镜
体外冲击波碎石
inferior calyceal calculi
flexible ureterorenoscopy
extracorporeal shock wave lithotripsy
