摘要
目的探讨微通道与标准通道经皮肾镜取石术对肾结石治疗的临床疗效及安全性。方法回顾性分析2018年6月至2020年12月于南华大学附属邵阳医院接受治疗的抒结石患者119例:将其中行18Fr微通道经皮肾镜取石术(MPCNL)69例纳人观察组,行24Fr标准通道经皮肾镜取石术(SPNL)50例纳人对照组;比较两组的临床治疗效果及安全性。结果观察组的结石清除率为84.06%(58/69),与对照组的结石清除率86.00%(43/50)比较,差异无统计学意义(χ^(2)=0.085,P=0.770);两组术中出血量比较,差异无统计学意义(P>0.05);观察组的手术时间显著长于对照组(P<0.05);观察组患者的术后卧床时间与住院时间显著低于对照组(P<0.05);两组在血红蛋白降低、白细胞升高、感染性休克、发热发生率方面比较,差异无统计学意义(P>0.05);观察组的不良反应总发生率7.25%(5/69)与对照组8.00%(4/50)比较,差异无统计学意义(P>0.05)。结论MPCNL与SPNL的结石清除率无差异。SPNL可缩短手术时间,MPCNL可缩短住院时间、卧床时间,临床应用安全有效。
Objective To investigate the clinical efficacy and safety of micro channel and standard channel percutaneous nephrolithotomy in the treatment of renal calculi.Methods From June 2018 to December 2020,119 patients with renal calculi in our hospital were selected retrospectively.Sixty-nine cases of percutaneous nephrolithotomy 18 Fr micro channel percutaneous nephrolithotomy group(MPNL group)were included in the observation group.Among them,50 cases of standard channel percutaneous nephrolithotomy group(SPNL group)undergoing 24Fr percutaneous nephrolithotomy were included in the control group.Clinical efficacy and safety were compared between groups.Results There was no significant difference between the calculus clearance rate of 84.06%(58/69)in the observation group and 86.00%(43/50)in the control group(χ^(2)=0.085,P=0.770).There was no significant difference in intraoperative blood loss between the observation group and the control group(P>0.05).The operation time of observation group was significantly longer than that of control group(P<0.05).The postoperative bed time and hospital stay of observation group were significantly lower than those of control group(P<0.05).There was no significant difference in the incidence of decreased hemoglobin,increased leukocyte,septic shock and fever in the observation group(P>0.05).There was no significant difference in the total incidence of adverse reactions between 7.25%(5/69)and 8.00%(4/50)in the control group(P>0.05).Conclusions There was no significant difference in stone clearance rate between MPCNL and SPNL.SPNL can shorten the operation,MPC-NL can shorten the length of hospital stay,bed time,clinical application is safe and effective.
作者
罗彦斌
唐玉宁
肖宁
林玮键
唐琦
朱胜
龙永福
Luo Yanbin;Tang Yuning;Xiao Ning;Lin Weijian;Tang Qi;Zhu Sheng;Long Yongfu(Department of Urology,Shaoyang Hospital Affiliated to University of South China,Shaoyang 422000,China;Department of Urology,the Second Affiliated Hospital of GuiLin Medical University,GuiLin 541000,China;Reproductive Center,College of Basic Medicine of Central South University,Changsha 410008,China)
出处
《国际泌尿系统杂志》
2021年第5期815-819,共5页
International Journal of Urology and Nephrology
基金
湖南省科技创新计划项目(2017SK51401)
南华大学研究生科研创新项目(203YXC034)。
关键词
肾结石
肾造口术
经皮
微通道
Kidney Calculi
Nephrostomy,Percutaneous
MicroChannel
