西南国防医药2017，Vol.27Issue(12)：1274-1276,3.DOI:10.3969/j.issn.1004-0188.2017.12.008
微创经皮肾镜与输尿管软镜治疗较大肾结石的疗效比较
Comparison between effects of micro-invasive percutaneous nephrolithotomy and flexible ureteroscope in treatment of larger kidney stones
管唯靓 1范明齐 1黄赤兵1
作者信息
- 1. 400037重庆,第三军医大学新桥医院泌尿外二科
- 折叠
摘要
Abstract
Objective To compare the effects and safety of micro-invasive percutaneous nephrolithotomy and flexible ureteroscope in the treatment of larger (2-4 cm) kidney stones.Methods The clinical data of 137 patients with larger kidney stones treated in our department were analyzed retrospectively.Among them,62 ones (FURS group) were treated with ureteroscopic holmium laser lithotripsy and 75 ones (mPCNL group) with mini-pereutaneous nephrolithotomy.The operation conditions,stone clearance rate and incidence of complications between the two groups were compared.Results The intraoperative amount of bleeding in FURS group was much less than that in mPCNL group (P ＜ 0.05);the stone clearance rate in FURS group and mPCNL group was 79.03％ and 81.33％ respectively,showing no statistical difference(P ＞ 0.05);the incidence of postoperative complications was low,but the incidence in mPCNL group was higher than that in FURS group,showing no statistical difference (P ＞ 0.05).Conclusion Both mPCNL and FURS have ideal stone clearance rate in the treatment of 2-4 cm kidney stones,but FURS has less intraoperative amount of bleeding,shorter operation time,and lower incidence of renal hemorrhage,transfusion and other postoperative complications than mPCNL.关键词
微创经皮肾镜/输尿管软镜/较大肾结石/疗效Key words
mPCNL/FURS/larger kidney stone/effect分类
医药卫生引用本文复制引用
管唯靓,范明齐,黄赤兵..微创经皮肾镜与输尿管软镜治疗较大肾结石的疗效比较[J].西南国防医药,2017,27(12):1274-1276,3.
