摘要
目的对比输尿管软镜取石术(FUL)和经皮肾镜碎石术(mPCNL)治疗直径1~2 cm肾结石的临床效果与安全。方法方便选择2018年12月—2020年12月期间该院收治的肾结石(结石直径1~2 cm)患者68例,以随机数表法划分为两组,各34例。对照组应用mPCNL治疗,研究组应用FUL治疗。比较两组一期结石清除率、手术时间、术中出血量、住院时间、术后6 h与24 h时疼痛视觉模拟评分(VAS),以及术后并发症。结果研究组一期结石清除率97.06%与对照组94.12%对比差异无统计学意义(χ^(2)=0.000,P=1.000)。研究组手术时间(52.65±16.52)min与对照组(53.65±14.89)min对比差异无统计学意义(t=0.262,P>0.05);研究组术中出血量(3.48±1.50)mL、住院时间(5.30±1.32)d较对照组(15.03±3.03)mL、(7.02±1.50)d低,差异有统计学意义(t=19.920、5.019,P<0.001)。研究组术后6 h时VAS量表(4.02±1.32)分、24 h时(1.52±0.45)分较对照组(5.82±1.52)分、(3.02±0.65)分低,差异有统计学意义(t=5.214、11.460,P<0.001)。研究组术后并发症发生率5.88%较对照组26.47%低,差异有统计学意义(χ^(2)=5.314,P<0.05)。结论FUL与mPCNL技术均能够有效清除直径1~2 cm肾结石,但FUL在术中出血量、术后疼痛、并发症、康复速度方面更具应用优势。
Objective To compare the clinical effect and safety of flexible ureteroscopy(FUL)and percutaneous nephrolithotomy(mPCNL)in the treatment of kidney stones with diameters of 1 to 2 cm.Methods From December 2018 to December 2020,68 patients with kidney stones(stone diameter 1-2 cm)admitted to this hospital were conveniently selected and divided into two groups by random number table,with 34 cases in each group.The control group was treated with mPCNL,and the study group was treated with FUL.The first-stage stone clearance rate,operation time,intraoperative blood loss,length of hospital stay,visual analogue scale(VAS)of pain at 6 h and 24 h after surgery,and postoperative complications were compared between the two groups.Results There was no statistically significant difference between the 97.06%and 94.12%of the control group in the first-stage stone clearance rate and in the study group(χ^(2)=0.000,P=1.000).There was no statistically significant difference between the operation time of the study group(52.65±16.52)min and the control group(53.65±14.89)min(t=0.262,P>0.05);the intraoperative blood loss(3.48±1.50)mL and hospitalization time of the study group(5.30±1.32)d was lower than the control group(15.03±3.03)mL and(7.02±1.50)d,the difference was statistically significant(t=19.920,5.019,P<0.001).The score of the VAS scale(4.02±1.32)points at 6 h after operation and(1.52±0.45)points at 24 h in the study group was lower than that of the control group(5.82±1.52)points and(3.02±0.65)points,the difference was statistically significant(t=5.214,11.460,P<0.001).The postoperative complication rate of the study group was 5.88%lower than that of the control group 26.47%,and the difference was statistically significant(χ^(2)=5.314,P<0.05).Conclusion Both FUL and mPCNL techniques can effectively remove kidney stones with a diameter of 1 to 2 cm,but FUL has more advantages in terms of intraoperative blood loss,postoperative pain,complications,and recovery speed.
作者
师保健
许岩芳
SHI Baojian;XU Yanfang(Department of Urology,the Second Hospital of Nanping City,Nanping,Fujian Province,354200 China)
出处
《中外医疗》
2021年第32期84-87,共4页
China & Foreign Medical Treatment
