摘要
目的:探讨微创经皮肾镜碎石术(MPCNL)与输尿管软镜碎石术(FURS)在治疗直径大于1 cm输尿管上段结石的临床疗效对比。方法:选择2014年8月-2016年8月期间治疗的62例输尿管上段结石(直径大于1cm)患者作为研究对象,根据手术方式不同(MPNCNL和FURS)采用随机数字表法随机分为MPCNL组和FURS组,两组患者均为31例,术后随访1个月,比较两组在手术时间、术中出血量、住院时间、住院费用、并发症发生率、术后1个月结石清除率的异同。结果:MPCNL组在术中出血量、住院时间、并发症发生率方面高于FURS组,差异有统计学意义(P<0.05)。MPCNL组在手术时间、住院费用、术后1个月结石清除率方面与FURS组无明显区别,差异无统计学意义(P>0.05)。结论:同MPCNL相比,FURS在治疗直径大于1 cm输尿管上段结石过程中可减少患者术中出血、降低并发症发生率,缩短住院时间,具有创伤小、安全性高等优点,更值得在临床推广应用。
Objective:To compare the clinical efficacy of minimally invasive percutaneous nephrolithotomy(MPCNL)vs. flexible ureteroscopic lithotripsy(FURS)in the treatment of upper ureteral calculi with diameter great?er than 1 cm.Methods:Sixty-two patients with upper ureteral calculi(diameter greater than 1 cm)treated in our hos?pital from August 2014 to August 2016 were randomly divided into two groups(MPCNL group and FURS group)according to different surgical methods(MPCNL and FURS). Both groups had 31 patients. The follow-up time was 1 month after operation. The operative time,intraoperative bleeding volume,and blood loss were compared between the two groups. The differences in hospital stay,hospitalization expenses,complication rate and stone clearance rate after 1 month were compared.Results:The amount of bleeding,hospital stay and complication rate in MPCNL group were significantly increased as compared with those in FURS group(P<0.05). There was no significant differ?ence between MPCNL group and FURS group in operation time,hospitalization cost and stone clearance rate at 1 month after operation(P>0.05).Conclusion:Compared with MPCNL,FURS can reduce intraoperative blood loss,complication rate and hospital stay in the treatment of upper ureteral calculi with diameter greater than 1 cm. It has the advantages of small trauma and high safety and is worthy of clinical application.
作者
赵文超
郑明华
李文琦
周鹏
牛天力
金鑫
ZHAO Wenchao;ZHENG Minghua;LI Wenqi;ZHOU Peng;NIU Tianli;JIN Xin(Department of Urology,Taizhou People's Hospital,Taizhou 225700,China;Department of Medical Quality and Safety Control,Taizhou People's Hospital)
出处
《微创泌尿外科杂志》
2019年第1期21-24,共4页
Journal of Minimally Invasive Urology
关键词
微创经皮肾镜
输尿管软镜
输尿管上段结石
minimally invasive percutaneous nephrolithotomy
flexible ureteroscope
upper ureteral calculi
