Clinical value of single-channel minimally invasive percutaneous nephrolithotomy combined with flexible ureteroscope holmium laser lithotripsy in the treatment of complex renal calculi
LI Shengping1, CHEN Ru1, MA Feng1, SHI Yongzhu1, ZHOU Jun1
1Department of Urology, 3201st Hospital, Department of Medicine, Xi'an Jiaotong University, Xi'an 723000, China
Abstract：Objective： To investigate the efficacy of single-channel minimally invasive percutaneous nephrolithotomy holmium laser lithotripsy combined with ureteroscope holmium laser lithotripsy in the treatment of complicated renal calculi. Methods： 136 patients with complex renal calculi were randomly divided into group A and group B with 68 cases in each. In group A, holmium laser lithotripsy with single channel minimally invasive percutaneous nephroscope was applied in combination with holmium laser lithotripsy with flexible ureteroscope. In group B, holmium laser lithotripsy with percutaneous nephroscope was performed. The efficacy and safety of the two groups were compared. Results： The operation time in group A was （93.79 ± 17.37） min, which was significantly longer than that in group B （P < 0.05）. No serious complications such as massive hemorrhage and ureteral rupture occurred in group A. One patient in group B had massive hemorrhage, which was relieved after blood transfusion and hemostasis. Conclusion： Single channel minimally invasive percutaneous holmium laser lithotripsy combined with ureteroscope holmium laser lithotripsy can improve the stone removal effect and safety of complex renal stones.
李升平, 陈如, 马锋, 石永柱, 周俊. 单通道微创经皮肾镜钬激光碎石术联合输尿管软镜钬激光碎石术治疗复杂性肾结石的临床价值研究[J]. 微创泌尿外科杂志, 2020, 9(5): 321-323.
LI Shengping, CHEN Ru, MA Feng, SHI Yongzhu, ZHOU Jun. Clinical value of single-channel minimally invasive percutaneous nephrolithotomy combined with flexible ureteroscope holmium laser lithotripsy in the treatment of complex renal calculi. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2020, 9(5): 321-323.
[1] FEI X, LI J, SONG Y, et al.Single-stage multiple-tract percutaneous nephrolithotomy in the treatment of staghorn stones under total ultrasonography guidance. Urol Int, 2014,93(4):411-416. [2] 章尹岗,刘文.经皮肾镜取石术并发出血的危险因素分析.中国内镜杂志,2018,24(6):83-87. [3] 武兴敏. 经皮肾镜碎石术出血防治的研究进展.医学综述,2014,20(14):2583-2585. [4] 潘翠青,蔡维敏,陈冬燕.经皮肾镜碎石取石术不同时段出血的原因分析及护理对策.海南医学,2015,26(4):619-622. [5] 陈文彬,崔书平,刘飞,等.微通道经皮肾镜取石术治疗上尿路结石2724例经验总结.临床军医杂志,2015,43(5):509-512,515. [6] YAN Z, ZHOU JH, SHI ZD, et al.A report on safety analysis of tubeless percutaneous nephrolithotomy. Cell Biochem Biophys, 2015,72(2):481-483. [7] 彭泳涵,施晓磊,高小峰,等.输尿管软镜处理经皮肾镜取石术后残留肾结石.第二军医大学学报,2014,35(2):225-227. [8] 黄仁胜,陈海华,龙振河,等.孤立肾肾结石微创治疗的现状及进展.医学综述,2017,23(13):2567-2571. [9] 畅晋军,孟瑞庆,薛国军,等.微创经皮肾镜与大通道经皮肾镜治疗肾结石的效果比较.中国基层医药,2015,22(8):1184-1186,1187. [10] 廖春贤,华庆生,石宇强,等.微创经皮肾穿刺取石术治疗复杂性肾结石的术后并发症危险因素分析.中国实验诊断学,2017,21(3):468-470. [11] 赵树田,屈平保,钱海宁,等.微创经皮肾镜碎石术联合输尿管软镜治疗青年嵌顿性输尿管上段结石效果观察.山东医药,2016,56(10):80-81. [12] 党博文,米华.经皮肾镜碎石取石术并发出血的原因及防治.中华腔镜泌尿外科杂志(电子版),2018,12(3):214-216.
