摘要
Abstract
Objective:To compare the efficacy of flexible ureteroscopy lithotripsy(FURL)combined with flexible suction ureteral access sheath and percutaneous nephrolithotomy(PCNL)for the treatment of 2-3 cm renal stones.Methods:The clinical data of 151 cases with 2-3 cm renal stones treated during Jan 2022 to Feb 2023 were analyzed,including the FURL group(86 cases)and PCNL group(65 cases)according to the surgical approaches.The preoperative data,overall operative time,stone free time,postoperative hospitalization time,hemoglobin drop value,stone free rates and postoperative complications were compared between the two groups.Results:The differences of preoperative data between the two groups were not statistically significant(P＞0.05).Stone free rates of two groups at 1 day and 1 month after surgery were not statistically significant(81.40%vs 86.15%,P＞0.05)and(87.21%vs 89.23%,P＞0.05).Compared with PCNL,stone free time was longer in the FURL group[(66.78±25.87)min vs(47.23±16.70)min,P＜0.05],but overall operative time was similar between the two groups(P＞0.05).In the FURL group,postoperative hospitalization was shorter(3 d vs 5 d,P＜0.05),hemoglobin drop was less[(5.16±7.48)g·L-1 vs(10.32±7.48)g·L-1,P＜0.05],and the rate of postoperative complications was lower,with statisrical significance(5.81%vs 16.92%,P＜0.05).Conclusion:The FURL combined with a bendable ureteral introducer sheath is a safe and effective surgical approach.It can be used as a preferred option for the treatment of 2-3 cm kidney stones.关键词
输尿管鞘/输尿管软镜/经皮肾镜取石术/肾结石Key words
Ureteral access sheath/Flexible ureteroscopy/Percutaneous nephrolithotomy/Renal stones分类
医药卫生
