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中华腔镜泌尿外科杂志(电子版) ›› 2018, Vol. 12 ›› Issue (03) : 202 -205. doi: 10.3877/cma.j.issn.1674-3253.2018.03.014

所属专题: 文献

临床研究

输尿管软镜与微通道经皮肾镜治疗2~3 cm肾盂结石的疗效分析
钟键1,(), 卞卫星1, 仇佳星1, 金正贤1   
  1. 1. 215600 江苏,南京中医药大学张家港附属医院
  • 收稿日期:2016-09-27 出版日期:2018-06-01
  • 通信作者: 钟键

Effect of electronic flexible ureteroscopy and mini-percutaneous nephrolithotomy in the trentment of pelvic calculi from 2 cm to 3 cm

Jian Zhong1,(), Weixing Bian1, Jiaxing Qiu1, Zhengxian Jin1   

  1. 1. Department of urology, Zhangjiagang Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Jiangsu 215600, china
  • Received:2016-09-27 Published:2018-06-01
  • Corresponding author: Jian Zhong
  • About author:
    Corresponding Author: Zhong Jian, Email:
引用本文:

钟键, 卞卫星, 仇佳星, 金正贤. 输尿管软镜与微通道经皮肾镜治疗2~3 cm肾盂结石的疗效分析[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2018, 12(03): 202-205.

Jian Zhong, Weixing Bian, Jiaxing Qiu, Zhengxian Jin. Effect of electronic flexible ureteroscopy and mini-percutaneous nephrolithotomy in the trentment of pelvic calculi from 2 cm to 3 cm[J/OL]. Chinese Journal of Endourology(Electronic Edition), 2018, 12(03): 202-205.

目的

比较电子输尿管软镜下钬激光碎石术(FURS)和微通道经皮肾镜下钬激光碎石术(MPCNL)治疗单发2~3 cm肾盂结石的疗效。

方法

回顾性分析南京中医药大学附属张家港市中医医院泌尿外科2015年1月至2016年8月收治的56例单发2~3 cm的肾盂结石患者病例资料,32例采用电子输尿管软镜钬激光碎石术(软镜组),24例采用微通道经皮肾镜钬激光碎石术(肾镜组),比较两组手术时间、结石清除率、降钙素原和C反应蛋白的上升量、并发症率、住院时间、治疗费用。

结果

两组患者性别、年龄、结石最大径、结石负荷比较差异无统计学意义(P>0.05)。软镜组结石清除率90.6%(29/32),降钙素原(0.9±0.2)μg/L,C反应蛋白(19.6±0.3)mg/L,并发症1例,肾镜组结石清除率91.7%(22/24),降钙素原(0.8±0.3)μg/L,C反应蛋白(19.3±0.7)mg/L,并发症4例,差异均没有统计学意义(P>0.05)。软镜组手术时间(98.3±12.1)min,术后住院时间(5.1±1.6)d,总费用(3.3±0.6)万元;肾镜组手术时间(54.2±7.7)min,术后住院时间(9.3±1.7)d,总费用(2.5±0.8)万元,差异均有统计学意义(P<0.05)。

结论

与经皮肾镜相比较,电子输尿管软镜钬激光碎石术治疗单发2~3 cm肾盂结石安全有效。

Objective

To evaluate the efficacy,safety and cost of electronic flexible ureteroscopy lithotripsy (FURS) and mini percutaneous nephrolithotomy lithotripsy (PCNL) in the treatment of 2~3 cm pelvic calculi.

Methods

Fifty six patients with single pelvic calculi (2~3 cm) were treated in Zhangjiagang Traditional Chinese Medicine Hospital from January 2015 to August 2016. 32 cases in flexible ureteroscopy group, and 24 cases in mini percutaneous nephrolithotomy group. The operative time, stone-free rate, blood transfusion, postoperative procalcitonin and CRP, rates of complications, hospitalization time after operation, overall expenditure were compared between the two groups

Results

The operative completion rate of FURS group was 93.8%(30/32), and 100% in PCNL group; the stone-free rate of FURS was 90.6%(29/32), and 91.7%(22/24) in PCNL group, procalcitonin were (0.9±0.2) μg/L and (0.8±0.1) μg/L; CRP were (19.6±0.3) mg/L and (17.1±0.2) mg/L; incidences of complications were 3.1%(1/32) and 16.7% (4/24). And differences between the two groups mentioned above were not statistically significant (P>0.05). The operative time of FURS and PCNL were (98±2) min, and (54±8) min respectively, hospitalization time after operation were (5.1±1.6) d and (9.3±1.7) d respectively; total cost were (3.3±0.6) and (2.5±0.8) ten thousand yuan respectively; the differences were statistically significant (P<0.05).

Conclusion

Compared with PCNL, FURS can be the first choice in treating solitary pelvic stone (2~3 cm).

表1 软镜组和肾镜组术前一般情况比较(±s
表2 软镜组和肾镜组手术相关指标比较(±s
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