|本期目录/Table of Contents|

[1]鲁可权,陈晨,王臣,等.超微经皮肾镜与输尿管软镜治疗直径≤2cm肾结石的效果分析[J].医学研究与战创伤救治(原医学研究生学报),2018,20(03):254-257.[doi:10.3969/j.issn.1672-271X.2018.03.008]
　LU Ke-quan,CHEN Chen,WANG Chen,et al.A clinical analysis between super-micro percutaneous nephrolithomy and flexible ureteroscopy lithotripsy for renal calculi withno more than 2 cm diameter[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2018,20(03):254-257.[doi:10.3969/j.issn.1672-271X.2018.03.008]
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超微经皮肾镜与输尿管软镜治疗直径≤2cm肾结石的效果分析()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第20卷
期数:
2018年03期
页码:
254-257
栏目:
出版日期:
2018-05-09

文章信息/Info

Title:
A clinical analysis between super-micro percutaneous nephrolithomy and flexible ureteroscopy lithotripsy for renal calculi withno more than 2 cm diameter
作者:
鲁可权; 陈晨; 王臣; 李子良; 程香玲
作者单位：221004徐州，解放军第九七医院泌尿外科（鲁可权、陈晨、王臣、李子良、程香玲）
Author(s):
LU Ke-quan; CHEN Chen; WANG Chen; LI Zi-liang; CHENG Xiang-ling
（Department of Urology，the 97th Hospital of PLA，Xuzhou 221004，Jiangsu，China）
关键词:
肾结石; 超微经皮肾镜碎石术; 输尿管软镜碎石术
Keywords:
renal stones;  super-micro percutaneous nephrolithomy;  flexible ureteroscopy lithotripsy
分类号:
R692.4
DOI:
10.3969/j.issn.1672-271X.2018.03.008
文献标志码:
A
摘要:
目的 比较超微经皮肾镜与逆行输尿管软镜治疗直径≤2 cm肾结石的安全性及其疗效。方法 回顾性分析2014年2月至2017年5月解放军第九七医院通过微创治疗的67例肾结石患者临床资料，结石直径均≤2 cm，其中29例采用超微经皮肾镜碎石术（SMP组），38例采用输尿管软镜碎石术（FURL组）。比较2组结石清除率、手术时间、住院时间、出血量、手术并发症、术后体外冲击波碎石(ESWL)次数以及住院费用等。结果 2组手术均成功完成，无一例改开放手术，未出现大出血以及邻近器官损伤等并发症，SMP组和FURL组结石清除率均较高（96.6% vs 94.7%，P＞0.05）。SMP组较FURL组手术时间更短[（67.4±24.2）min vs （110.6±35.4）min，P＜0.05）]、住院费更低[（12 131.7±3280.3）元 vs （21 890.5±6140.1）元，P＜0.05]；但出血量明显高于FURL组[（90.5±28.6）mL vs （15.2±7.1）mL，P＜0.05]。住院时间和手术并发症（ClavienⅡ级）两组差异无统计学意义（P＞0.05），但FURL组术后ESWL次数较高（P＜0.05）。结论 应用超微经皮肾镜及输尿管软镜治疗直径≤2 cm的肾结石均安全有效，超微经皮肾镜能明显降低手术时间、住院费用，减少术后ESWL的次数。
Abstract:
Objective To compare the safety and efficacy between super-micro percutaneous nephrolithomy (SMP) and flexible ureteroscopy lithotripsy (FURL) for the treatment of renal calculi of 2 cm or less in diameter.Methods A retrospective study of 67 patients who received SMP or FURL with renal calculi from February 2014 to May 2017. The clearance rate of stones, the operation time, the length of hospital stay, the blood loss, the complications (Clavien Ⅱ) of operation, auxiliary ESWL, and the cost of hospitalization were evaluated between two groups.Results Those surgeries with endoscope were all completed without serious complications such as heavy bleeding and visceral organ injury. The removal rates reached a high level in both groups (96.6% vs 94.7%, P＞0.05). SMP group had significantly shorter operation time [(67.4±24.2)min vs (110.6±35.4)min, P＜0.05], less cost of hospitalization [(12 131.7±3280.3)yuan vs (21 890.5±6140.1)yuan, P＜0.05)] and more blood loss [(90.5±28.6)mL vs (15.2±7.1)mL, P＜0.05] than FURL group. There were no significant difference between the two groups in the hospital stay and the complications (Clavien Ⅱ) of operation (P＞0.05). In FURL group, auxiliary ESWL was more likely to achieve a higher stone clearance rate (P＜0.05). Conclusion SMP and FURL were both safety and effective in curing renal calculi with no more than 2 cm diameter. But SMP has shorter operation time, less cost of hospitalization and less times of using auxiliary ESWL.

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2018-05-20