岭南现代临床外科2024，Vol.24Issue(2)：116-120,5.DOI:10.3969/j.issn.1009-976X.2024.02.006
逆行肾内手术治疗直径2～3cm肾结石的临床应用
Clinical application of retrograde intrarenal surgery for the treatment of kidney stones measuring 2～3 cm in diameter
摘要
Abstract
Objective To investigate the clinical application of retrograde intrarenal surgery(RIRS)in the treatment of kidney stones measuring 2-3 cm in diameter.Methods A total of 80 patients with kidney stones with a diameter of 2-3 cm treated in our hospital from January 2022 to March 2023 were selected and divided into observation group(retrograde intrarenal surgery RIRS group,n=40)and control group(percutaneous nephrolithotripsis PCNL group,n=40)according to different surgical methods.The general condition,stone characteristics,intraoperative indexes and postoperative recovery of the two groups were compared.Results There was no significant difference between the two groups in general condition data and stone characteristics(P＞0.05).The decrease of hemoglobin in RIRS group was lower than that in PCNL group,the difference was statistically significant(P＜0.05),but there was no statisti-cally significant difference in other perioperative data(P＞0.05).The length of hospital stay and total complications in RIRS group were lower than those in PCNL group,and the differences were statistically significant(P＜0.05).One month after surgery,34 patients(85.00%)in the RIRS group and 36 patients(90.00%)in the PCNL group were cleared of stone,and there was no significant difference in stone clear-ance between the two groups(P＞0.05).Conclusion The use of ureteral flexible lithotripsy in patients with larger renal stones of 2-3 cm in diameter is comparable to percutaneous nephrolithotripsy in terms of operative time,stone clearance,and causing postoperative elevation of PCT.Patients with ureteral soft litho-tripsy have less bleeding,faster recovery,shorter postoperative hospital stay and lower complication rate.关键词
肾结石/逆行肾内手术/经皮肾镜碎石术/血红蛋白/降钙素原Key words
kidney stone/retrograde intrarenal surgery/percutaneous nephrolithotripsy/hemoglo-bin/procalcitonin分类
医药卫生引用本文复制引用
周晓波,李茂章..逆行肾内手术治疗直径2～3cm肾结石的临床应用[J].岭南现代临床外科,2024,24(2):116-120,5.基金项目
广东省自然科学基金-面上项目(2114050001591) （2114050001591）
惠州市科技计划项目(2023CZ010070) （2023CZ010070）
