经皮肾镜与输尿管镜治疗输尿管上段直径＞1.5cm结石的疗效比较分析

刘年; 李杰; 朱鑫; 梁思敏; 陈代晖; 陈勇; 匡幼林; 邓远忠

doi:10.13201/j.issn.1001-1420.2017.08.016

经皮肾镜与输尿管镜治疗输尿管上段直径＞1.5cm结石的疗效比较分析

- 重庆医科大学附属第一医院泌尿外科(重庆, 400016)

详细信息

通讯作者: 邓远忠,E-mail:250210771@qq.com

中图分类号: R693.4

收稿日期: 2017-03-15

Comparison of the efficacy and safety between percutaneous nephrolithotomy and ureteroscopic lithotripsy on upper ureteral calculi＞1.5cm

- Department of Urology, First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China

More Information

Corresponding author: DENG Yuan-zhong, E-mail: 250210771@qq.com

Received Date: 15 March 2017

摘要

摘要: 目的:评价经皮肾镜取石术(PCNL)治疗>1.5cm输尿管上段结石的安全性和有效性。方法:2014年7月~2016年3月我院收治输尿管上段结石直径>1.5cm的患者133例,52例接受PCNL,81例接受输尿管镜碎石术(URL)。对比分析两组患者资料。结果:多项观察指标在两组间的差异有统计学意义:PCNL和URL的术后清石率分别为92.3%和75.3%(P=0.013);两组患者平均手术时间分别为(37.6±13.8) min和(44.1±12.5) min (P=0.006);PCNL及URL平均Hb减少量分别为(8.06±8.1) g/L和(4.8±5.4) g/L (P=0.006);术后平均住院时间分别为(5.4±1.9) d和(2.0±1.3) d (P<0.01);两组患者的再次治疗率分别为3.8%和16.0%(P=0.030)。两组患者并发症发生率之间差异无统计学意义,分别为13.5%和19.8%(P=0.349)。结论:PCNL治疗直径>1.5cm输尿管上段结石安全有效,手术时间短,清石率高,再治疗率低。
- 输尿管结石 /
- 输尿管镜 /
- 经皮肾镜
Abstract: Objective:To assess the efficacy and safety of percutaneous nephrolithotomy (PCNL) on upper ureteral calculi>1.5cm.Method:From July 2014 to March 2016, 133 patients with upper ureteral calculi>1.5cm who were treated in our hospital were restrospectively analyzed.Fifty-two patients were treated by PCNL, while 81 patients were treated by ureteroscopic lithotripsy (URL). The clinical data including stone-free rate, operating time, complication rate, et al.were analyzed and compared between two groups.Result:The clinical data of all patients were as follows:the average operating time of PCNL group and URL group were (37.6±13.8) minutes and (44.1±12.5) minutes respectively (P=0.006) ;the postoperative stone-free rate of two groups were 92.3%and 75.3% (P=0.013) ;the reduction of hemoglobin were (8.06±8.1) g/L and (4.8±5.4) g/L (P=0.006) ;the average postoperative length of stay were (5.4±1.9) days and (2.0±1.3) days (P<0.01) ;the rate of auxiliary treatment were 3.8% and 16.0% (P=0.030). All the above data showed statistical difference.However, the complication rate of PCNL group and URL group were 13.5% and 19.8% (P=0.349), which showed no statistical difference.Conclusion:PCNL is effective and safe on treating upper ureteral calculi>1.5cm.Compared with URL, PCNL shows shorter operative time, higher stone-free rate and lower retreatment rate.
- ureteral calculi /
- ureteroscopy /
- percutaneous

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