软性输尿管镜与经皮肾镜碎石术治疗直径≥2 cm肾结石疗效比较

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摘要目的:比较软性输尿管镜钬激光碎石术与经皮肾镜钬激光碎石术治疗直径≥2 cm肾结石的安全性及临床效果。方法:回顾性分析2012年3月~2015年3月收治的60例肾结石患者临床资料，其中30例行软性输尿管镜钬激光碎石术，30例行经皮肾镜钬激光碎石术。比较分析两组手术时间、清石率、住院时间、并发症发生率。组间比较采用t检验，P<0.05时差异有统计学意义。结果:软性输尿管镜组和经皮肾镜组结石大小分别为(2.0±0.5)cm和(2.1±0.4)cm(P>0.05)，手术时间分别为(58.4±7.7)min和(39.4±7.5)min，术后住院天数分别为(7.3±1.6)d和(14.6±1.5)d，并发症发生率分别为10%和6.7%。结论:与经皮肾镜碎石术相比软性输尿管镜碎石术处理≥2 cm肾结石创伤小，并发症发生率低。软性输尿管镜碎石术是经皮肾镜碎石术可选的替代方案。

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	董传江
	谢宗兰
	张路生
	陈晓波
	董自强

关键词 ：软性输尿管镜, 肾结石, 经皮肾镜, 钬激光

Abstract：Objective: To compare the safety and clinical effects of the flexible ureteroscope lithotripsy vs. percutaneous nephrolithotomy lithotripsy for the management of renal stones 2 cm or greater. Methods: We retrospectively analyzed the records of 60 patients who underwent percutaneous nephrolithotomy or flexible ureteroscopy lithotripsy in our hospital from March 2012 to March 2015. In this study 30 patients were given flexible ureteroscopy lithotripsy, and 30 patients were subjected to percutaneous nephrolithotomy treatment. The operative time, stone clearance rate, hospitalization time and complication rate were compared. The intragroup comparison was done by t-test, and a probability (P) value of less than 0.05 was taken to indicate statistical significance. Results: In flexible ureteroscopy group and percutaneous nephrolithotomy group the stone diameter was (2.0±0.5) and (2.1±0.4) cm (P>0.05), operative time was (58.4±7.7) min and (39.4±7.5 ) min, hospitalization time was (7.3±1.6) days and (14.6±1.5) days, and the complication rate was 10.0% and 6.7% respectively. Conclusions: In comparison to percutaneous nephrolithotomy lithotripsy, the flexible ureteroscopy lithotripsy enjoys a minimal trauma and low complication rate. The flexible ureteroscopy lithotripsy is an alternative treatment in the management of renal stones 2 cm or greater.

Key words： flexible ureteroscopy kidney stones percutaneous nephrolithotomy holmium laser

收稿日期: 2016-02-17

ZTFLH:

R692.4

基金资助:国家自然科学基金(81300626)

通讯作者: 董自强,dcj92501@163.com

引用本文:

董传江，谢宗兰，张路生，陈晓波，董自强. 软性输尿管镜与经皮肾镜碎石术治疗直径≥2 cm肾结石疗效比较[J]. 微创泌尿外科杂志, 2016, 5(4): 196-198.
Dong Chuanjiang, Xie Zonglan, Zhang Lusheng, Chen Xiaobo, Dong Ziqiang. Comparison of efficacy of flexible ureteroscopic lithotripsy vs. percutaneous nephrolithotomy in the management of renal stones 2 cm or greater. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2016, 5(4): 196-198.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1167.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2016/V5/I4/196

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