中国医学创新2024，Vol.21Issue(29)：114-118,5.DOI:10.3969/j.issn.1674-4985.2024.29.026
经皮肾镜取石术与可弯曲负压吸引工作鞘联合输尿管软镜碎石术在肾结石(≥1.3cm)患者治疗中的效果对比
Comparison of the Effect of Percutaneous Nephrolithotomy and Flexible Negative Pressure Ureteral Access Sheath Combined with Flexible Ureteroscopic Lithotripsy in the Treatment of Patients with Renal Calculus(≥1.3 cm)
欧阳威 1赵俊 1张文元 1杨彦峰 1蔡园觉1
作者信息
- 1. 吉安市中心人民医院(上海市东方医院吉安医院)泌尿外科 江西 吉安 343000
- 折叠
摘要
Abstract
Objective:To explore the effect of percutaneous nephrolithotomy(PCNL)and flexible negative pressure ureteral access sheath(NPUAS)combined with flexible ureteroscopic lithotripsy(FURL)in the treatment of patients with renal calculus(≥1.3 cm).Method:The data of 144 patients with renal calculus hospitalized in Ji'an Central People's Hospital from January 2021 to November 2023 were retrospectively analyzed and divided into two groups according to different surgical treatment regimens:control group(n=72,treated with PCNL)and observation group(n=72,treated with flexible NPUAS combined with FURL).The operation status,hospital stay,stone clearance rate and postoperative complications of the two groups were recorded.The renal function indexes before surgery and 1 day after surgery were compared between the two groups.Result:The operation time and hospital stay in the observation group were shorter than those in the control group,and the intraoperative bleeding volume was less than that in the control group,the differences were statistically significant(P<0.05).The stone clearance rate in the observation group was higher than that in the control group(97.22%vs 77.78%),and the total complication rate was lower than that in the control group(5.56%vs 22.22%),the differences were statistically significant(P<0.05).1 day after surgery,creatinine and blood urea nitrogen levels in the two groups were higher than those before surgery,but those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Compared with PCNL,renal calculus(≥1.3 cm)patients who choose flexible NPUAS combined with FURL can shorten the operation time,hospital stay,reduce the intraoperative bleeding volume,improve the stone clearance rate,reduce the incidence of postoperative complications,and reduce renal function damage.关键词
经皮肾镜取石术/可弯曲负压吸引工作鞘/输尿管软镜碎石术/肾结石Key words
Percutaneous nephrolithotomy/Flexible negative pressure ureteral access sheath/Flexible ureteroscopic lithotripsy/Renal calculus引用本文复制引用
欧阳威,赵俊,张文元,杨彦峰,蔡园觉..经皮肾镜取石术与可弯曲负压吸引工作鞘联合输尿管软镜碎石术在肾结石(≥1.3cm)患者治疗中的效果对比[J].中国医学创新,2024,21(29):114-118,5.
