Therapeutic effect of 16 F microchannel percutaneous nephroscopy combined with 1470 nm laser in the treatment of parapelvic cysts

doi:10.3877/cma.j.issn.1674-3253.2020.04.011

Abstract

Abstract:

Objective

To investigate the clinical efficacy of 16 F microchannel percutaneous nephroscopy combined with 1 470 nm semiconductor laser in the treatment of parapelvic cysts.

Methods

Forty-nine cases of parapelvic cysts admitted to our hospital from January 2016 to December 2018 were retrospectively selected as the study subjects. All patients were divided into two groups according to different treatment methods. 24 patients in the observation group were treated with 16 F microchannel percutaneous nephroscopy combined with 1 470 nm semiconductor laser, and 25 patients in the control group were treated with laparoscopic decompression of parapelvic cyst. The operation time, intraoperative blood loss, postoperative outpatient activity time, hospitalization time were compared between the two groups. The visual analogue scale (VAS) scores before and after treatment were compared between the two groups.

Results

The operation time (33±5) min, intraoperative blood loss (18±4) ml, postoperative outpatient activity time (16±3) h, and hospitalization time (4.1±0.8) d in the observation group, were significantly less than those of the control group [(54±10) min, (49±12) ml, (29±6) h, (5.7±1.2) d] (P<0.05). After treatment, the VAS score (3.82±1.03) in the observation group was significantly lower than that in the control group (5.53±1.24), and the difference was statistically significant (P<0.05). The two groups of patients were reviewed after treatment. There was no difference in symptom relief rate (91.67% vs 76.00%), complication rate (4.17% vs 8.00%) and recurrence rate (0.00% vs 4.00%). The differences were was not statistically significant (P>0.05).

Conclusion

16 F Micro-channel percutaneous nephrolithotomy combined with 1 470 nm semiconductor laser in the treatment of para-negative cysts has a significant clinical effect, which can shorten the operation time, reduce the amount of bleeding, improve the pain of patients and promote rehabilitation, which is worthy of clinical application.

Key words: PCNL, 1 470 nm, Semiconductor laser, Para-aortic cyst

Yongjia Chen, Nenggui Feng, Huaqiang Xu, Guangyao Chen, Qiubao Huang, Jianqiu Tan, Minmei Xu. Therapeutic effect of 16 F microchannel percutaneous nephroscopy combined with 1470 nm laser in the treatment of parapelvic cysts[J]. Chinese Journal of Endourology(Electronic Edition), 2020, 14(04): 283-287.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhqjmnmwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-3253.2020.04.011

https://zhqjmnmwkzz.cma-cmc.com.cn/EN/Y2020/V14/I04/283

Figures/Tables 6

References 16

[1]	魏森鑫, 王静, 梁俊峰, 等. 输尿管软镜切开内引流治疗肾盂旁囊肿的初步经验[J/CD]. 中华腔镜泌尿外科杂志(电子版), 2018, 12(3): 206-209.
[2]	赵春利, 周可义, 杨文增, 等. 经皮微通道同期治疗肾盂旁囊肿合并肾盂输尿管连接部狭窄的疗效观察[J]. 中国微创外科杂志, 2017, 17(9): 808-810.
[3]	闫昆吾, 刘文瞻, 孟娜, 等. 超声引导输尿管软镜钬激光切开内引流术治疗肾盂旁囊肿[J]. 中国微创外科杂志, 2019, 19(5): 412-414.
[4]	Kang N, Guan X, Song L, et al. Simultaneous treatment of parapelvic renal cysts and stones by flexible ureterorenoscopy with a novel four-step cyst localization strategy[J]. Int Braz J Urol, 2018, 44(5): 958-964.
[5]	张志涛, 王杰, 武旗. 1 470 nm半导体激光汽化术与经尿道前列腺电切术后的炎症及应激反应程度比较[J]. 海南医学院学报, 2018, 24(3): 349-352.
[6]	Yang W, Cui Z, Ma T, et al. Effects of visual standard channel combined with visual superfine precision puncture channel or super-mini channel percutaneous nephrolithotomy on multiple renal calculi[J]. Pak J Med Sci, 2018, 34(3): 535-539.
[7]	上海产后出血研究协作组. 上海市剖宫产出血计量研究[J]. 上海医学, 2001, 24(6): 332-335.
[8]	中华医学会疼痛医学会.视觉模拟评分法(VAS)[J]. 中国微侵袭神经外科杂志, 2004, 9(11): 483.
[9]	姜亚卓, 程继, 梁亮, 等. 软式输尿管镜激光内切开治疗肾盂旁囊肿32例临床研究[J]. 陕西医学杂志, 2018, 47(1): 26-28.
[10]	何昊阳, 李立宇, 陶志兴, 等.输尿管软镜与腹腔镜治疗肾盂旁囊肿对比分析[J]. 现代临床医学, 2016, 42(6): 417-419.
[11]	Ferakis N, Stavropoulos M. Mini percutaneous nephrolithotomy in the treatment of renal and upper ureteral stones: Lessons learned from a review of the literature[J]. Urol Ann, 2015, 7(2): 141-148.
[12]	杨斌, 刘久华, 张明聪, 等. 经尿道1 470 nm半导体激光治疗输尿管囊肿的疗效分析[J]. 国际泌尿系统杂志, 2018, 38(4): 547-550.
[13]	Jones P, Bennett G, Aboumarzouk OM, et al.Role of minimally invasive percutaneous nephrolithotomy techniques-micro and ultra-mini pcnl (<15f) in the pediatric population: a systematic review[J]. J Endourol, 2017, 31(9): 816-824.
[14]	骆声福, 胡海平, 卢晓庆, 等. 输尿管软镜下钬激光内切开引流术治疗肾盂旁囊肿11例报告[J]. 中国内镜杂志, 2019, 25(6): 77-80.
[15]	班翼飞, 张大宏. 输尿管软镜下钬激光内切开引流术治疗肾盂旁囊肿10例临床体会[J]. 临床泌尿外科杂志, 2015, 30(10): 949-950.
[16]	周可义, 杨文增, 崔振宇, 等. 经皮肾镜同期治疗肾盂旁囊肿合并肾盂输尿管连接部狭窄的临床观察[J]. 中国内镜杂志, 2017, 23(6): 30-33.

组别	例数	性别（例）		年龄（岁，±s）	囊肿直径（cm，±s）	囊肿位置（例）		肿囊症状（例）
组别	例数	男	女	年龄（岁，±s）	囊肿直径（cm，±s）	左侧	右侧	血尿	泌尿系感染
观察组	24	13	11	50±3	5.53±0.43	11	13	15	9
对照组	25	12	13	50±4	5.64±0.41	12	13	14	11
统计值	?	χ²=0.186		t=0.000	t=0.916	χ²=0.023		χ²=2.028	χ²=0.170
P值	?	0.666		1.000	0.364	0.879		0.154	0.680

组别	例数	性别（例）		年龄（岁，±s）	囊肿直径（cm，±s）	囊肿位置（例）		肿囊症状（例）
组别	例数	男	女	年龄（岁，±s）	囊肿直径（cm，±s）	左侧	右侧	血尿	泌尿系感染
观察组	24	13	11	50±3	5.53±0.43	11	13	15	9
对照组	25	12	13	50±4	5.64±0.41	12	13	14	11
统计值	?	χ²=0.186		t=0.000	t=0.916	χ²=0.023		χ²=2.028	χ²=0.170
P值	?	0.666		1.000	0.364	0.879		0.154	0.680

组别	例数	手术时间（min）	术中出血量（ml）	术后卧床时间（h）	住院时间（d）
观察组	24	33±5	18±4	16±3	4.1±0.8
对照组	25	54±10	49±12	29±6	5.7±1.2
t值	?	9.629	11.527	9.436	5.337
P值	?	<0.001	<0.001	<0.001	<0.001

组别	例数	手术时间（min）	术中出血量（ml）	术后卧床时间（h）	住院时间（d）
观察组	24	33±5	18±4	16±3	4.1±0.8
对照组	25	54±10	49±12	29±6	5.7±1.2
t值	?	9.629	11.527	9.436	5.337
P值	?	<0.001	<0.001	<0.001	<0.001

组别	例数	治疗前	治疗后
观察组	24	0.63±0.13	3.82±1.03
对照组	25	0.59±0.14	5.53±1.24
t值	?	1.035	5.239
P值	?	0.305	<0.001

Please choose a citation manager

Content to export