MPCNL和F-URL治疗直径<2cm肾结石的疗效及安全性对比分析被引量：8

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摘要目的探讨微通道经皮肾镜激光碎石术(MPCNL)与输尿管软镜激光碎石术(F-URL)治疗直径<2cm肾结石的疗效及安全性差异。方法回顾性分析该院2015年4月至2017年4月收治直径<2cm肾结石患者共100例,根据微创手术方案不同分为A组(50例)和B组(50例),分别采用MPCNL和F-URL方案治疗。比较两组患者单次手术结石彻底清除率、手术用时、术后首次下床时间、血红蛋白(Hb)下降水平、总住院时间及术后并发症发生率。结果两组患者单次手术结石彻底清除率比较,差异无统计学意义(P>0.05);B组患者手术用时、术后首次下床时间、Hb下降水平及总住院时间均明显少于A组(P<0.05);两组患者术后发热、石街及血尿发生率比较,差异均无统计学意义(P>0.05)。结论 MPCNL和F-URL治疗直径<2cm肾结石具有相近的结石清除效果和安全性,但F-URL方案可有效降低操作难度,减少术中创伤及缩短病情康复时间。

作者邱建国王留成

机构地区江苏省淮安市涟水县人民医院泌尿外科

出处《检验医学与临床》 CAS 2018年第19期2973-2974,2990,共3页 Laboratory Medicine and Clinic

关键词经皮肾镜激光碎石术输尿管软镜激光碎石术肾结石安全性

分类号 R692.4 [医药卫生—泌尿科学]

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参考文献1

1张力杰,叶雄俊,黄晓波,熊六林,马凯,李建兴,王晓峰.无管化经皮肾镜和输尿管镜碎石术处理最大径线1.5cm以上输尿管上段结石的比较[J].北京大学学报（医学版）,2015,47(1):170-174. 被引量：25

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