摘要
目的:探讨输尿管硬镜联合软镜钬激光碎石术(F-RURS)与微通道经皮肾镜取石术(mPCNL)治疗输尿管上段嵌顿性结石的临床疗效。方法:回顾性分析大理大学第一附属医院泌尿外科2019年1月至2023年1月收治的220例输尿管上段嵌顿性结石患者的病历资料,依据治疗方式将患者分为mPCNL组与F-RURS组,比较2组患者手术相关指标、一次性碎石成功情况、术后1月结石清除情况及术后并发症发生情况。结果:2组患者在手术时间、术后1月结石清除率方面比较差异无统计学意义(P>0.05);与mPCNL组相比,F-RURS组住院时间显著缩短,术后血红蛋白下降量明显减少,差异有统计学意义(P<0.01)。mPCNL组的I期碎石成功率显著高于F-RURS组,但术后并发症发生率显著高于F-RURS组,差异有统计学意义(P<0.01)。结论:F-RURS与mPCNL在治疗输尿管上段嵌顿性结石时均可获得满意疗效,2组均无严重术后并发症发生。FRURS具有出血量少、住院时间短、并发症发生率低等特点,值得临床推广。
Objective:To investigate the clinical efficacy of F-RURS and mPCNL in the treatment of impacted upper ureteral stones.Methods:A retrospective analysis of the medical records of 220 patients with impacted upper ureteral stones treated in the Department of Urology of the First Affiliated Hospital of Dali University from January 2019 to January 2023 was conducted.Patients were divided into the mPCNL group and the F-RURS group according to the treatment method.The surgical parameters,success rate of singlesession stone fragmentation,stone clearance at 1 month postoperatively,and occurrence of postoperative complications were compared between the two groups.Results:There was no statistically significant difference between the two groups in terms of surgery time and stone clearance rate at 1 month postoperatively(P>0.05).Compared with the mPCNL group,the F-RURS group had significantly shorter postoperative hospital stay and less decrease in hemoglobin level postoperatively,with statistically significant differences(P<0.01).The stone fragmentation success rate in the mPCNL group was significantly higher than that in the F-RURS group,while the incidence of postoperative complications was also significantly higher in the mPCNL group compared to the F-RURS group,with statistically significant differences(P<0.01).Conclusion:Both F-RURS and mPCNL can achieve satisfactory efficacy in the treatment of impacted upper ureteral stones,with no serious postoperative complications in either group.F-RURS has the advantages of less bleeding,shorter hospital stay,and lower incidence of postoperative complications,and is worth clinical promotion.
作者
刘正理
郑飞
邹久林
张爱建
肖芝松
郑宝寿
Liu Zhengli;Zheng Fei;Zou Jiulin;Zhang Aijian;Xiao Zhisong;Zheng Baoshou(Department of Urology,The First Affiliated Hospital of Dali University,Dali,Yunnan 671000,China)
出处
《大理大学学报》
2024年第10期57-61,共5页
Journal of Dali University
基金
大理市科技计划项目(2021KBG089)
大理大学第一附属医院临床医学学科队伍建设项目(DFYGG2023011)。
关键词
输尿管硬镜联合软镜
钬激光碎石术
微通道经皮肾镜取石术
输尿管上段嵌顿性结石
flexible ureteroscope combined with rigid ureteroscope
holmium laser lithotripsy
minimally percutaneous nephrolithotomy
impacted upper ureteral stones
