中山大学学报（医学科学版）2017，Vol.38Issue(1)：118-121,132,5.
后腹腔镜肾窦内肾盂切开取石术治疗肾盂单发结石的临床疗效分析
Which Is the Better Therapy for Solitary Renal Pelvic Stone,Retroperitoneal Laparoscopic Intrasinusal Pyelolithotomy or Percutaneous Nephrolithotomy
摘要
Abstract
Objective]To compare the efficacy and safety of retroperitoneal laparoscopic intrasinusal pyelolithotomy (RLIP) and percutaneous nephrolithotomy(PCNL)in the treatment of solitary renal pelvic stone.[Methods]From March 2012 to September 2016,101 patients with solitary renal pelvic stone,divided into RLIP group(n=46)and PCNL group(n=55),were retrospectively analyzed to compare the difference between the two groups in clinical curative effect.[Results]There was no difference between the two groups regarding age,sex,stone side and stone size. Although the operative time was significantly longer,the stone-free rate in the RLIP group was significantly higher than that in the PCNL(P < 0.05). The postoperative complication of urinary tract infection was lower in the RLIP group (P < 0.05),however ,no significant difference was found in postoperative discharge time ,fever (>38.5℃)and the decrease values of hemoglobin and glomerular filtration rate.[Conclusion]Compared to PCNL,RLIP was more efficient and slight safer in the management of solitary renal pelvic stone ,and had a certain value for generalization in clinic.关键词
肾结石/肾盂切开取石术/腹腔镜/经皮肾镜Key words
kidney calculi/pyelolithotomy/laparoscopy/percutaneous分类
医药卫生引用本文复制引用
周家权,刘栓,刘元晓,王阳,徐从杰,康新立..后腹腔镜肾窦内肾盂切开取石术治疗肾盂单发结石的临床疗效分析[J].中山大学学报（医学科学版）,2017,38(1):118-121,132,5.基金项目
海南省医学科研重点课题 （）
