中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
13期
8-9,10
,共3页
蒋林涛%李爱军%喻俊峰%李有元%孙德明%聂勇%张满%易成
蔣林濤%李愛軍%喻俊峰%李有元%孫德明%聶勇%張滿%易成
장림도%리애군%유준봉%리유원%손덕명%섭용%장만%역성
微创经皮肾镜钬激光碎石%输尿管软镜碎石%肾盏结石
微創經皮腎鏡鈥激光碎石%輸尿管軟鏡碎石%腎盞結石
미창경피신경화격광쇄석%수뇨관연경쇄석%신잔결석
Minimally invasive percutaneous nephrolithotomy holmium laser lithotripsy%Flexible ureteroscope lithotripsy%Renal calyx stones
目的：探讨输尿管软镜及微创经皮肾镜钬激光碎石治疗肾盏结石的效果，以指导临床选择合理的治疗方式。方法：选择本院2012年3月-2013年12月收治的单发肾盏结石患者120例的临床资料，其中采用输尿管软镜碎石治疗50例（输尿管软镜组），采用微创经皮肾镜钬激光碎石治疗70例（微创经皮肾镜组），观察两组碎石成功率。结果：直径≥2 cm的上、中、下盏结石，微创经皮肾镜组碎石成功率均明显高于输尿管软镜组（P<0.05）；直径<2 cm的上、中盏结石，两组碎石成功率比较差异无统计学意义（P>0.05）；直径<2 cm下盏结石，微创经皮肾镜组碎石成功率明显高于输尿管软镜组（P<0.05）。结论：微创经皮肾镜钬激光碎石治疗直径≥2 cm的上、中、下盏结石及直径<2 cm的下盏结石效果较好，推荐使用，对于直径<2 cm的上、中盏结建议进行输尿管软镜碎石治疗。
目的：探討輸尿管軟鏡及微創經皮腎鏡鈥激光碎石治療腎盞結石的效果，以指導臨床選擇閤理的治療方式。方法：選擇本院2012年3月-2013年12月收治的單髮腎盞結石患者120例的臨床資料，其中採用輸尿管軟鏡碎石治療50例（輸尿管軟鏡組），採用微創經皮腎鏡鈥激光碎石治療70例（微創經皮腎鏡組），觀察兩組碎石成功率。結果：直徑≥2 cm的上、中、下盞結石，微創經皮腎鏡組碎石成功率均明顯高于輸尿管軟鏡組（P<0.05）；直徑<2 cm的上、中盞結石，兩組碎石成功率比較差異無統計學意義（P>0.05）；直徑<2 cm下盞結石，微創經皮腎鏡組碎石成功率明顯高于輸尿管軟鏡組（P<0.05）。結論：微創經皮腎鏡鈥激光碎石治療直徑≥2 cm的上、中、下盞結石及直徑<2 cm的下盞結石效果較好，推薦使用，對于直徑<2 cm的上、中盞結建議進行輸尿管軟鏡碎石治療。
목적：탐토수뇨관연경급미창경피신경화격광쇄석치료신잔결석적효과，이지도림상선택합리적치료방식。방법：선택본원2012년3월-2013년12월수치적단발신잔결석환자120례적림상자료，기중채용수뇨관연경쇄석치료50례（수뇨관연경조），채용미창경피신경화격광쇄석치료70례（미창경피신경조），관찰량조쇄석성공솔。결과：직경≥2 cm적상、중、하잔결석，미창경피신경조쇄석성공솔균명현고우수뇨관연경조（P<0.05）；직경<2 cm적상、중잔결석，량조쇄석성공솔비교차이무통계학의의（P>0.05）；직경<2 cm하잔결석，미창경피신경조쇄석성공솔명현고우수뇨관연경조（P<0.05）。결론：미창경피신경화격광쇄석치료직경≥2 cm적상、중、하잔결석급직경<2 cm적하잔결석효과교호，추천사용，대우직경<2 cm적상、중잔결건의진행수뇨관연경쇄석치료。
Objective: To investigate the effect of flexible ureteroscope and minimally invasive percutaneous nephrolithotomy holmium laser in treatment of renal calyces stones, and guide reasonable treatment choice for clinic. Method: Clinical data of 120 patients with renal calyces stones in our hospital from March 2012 to December 2013 were selected, 50 patients were given flexible ureteroscope lithotripsy treatment (flexible ureteroscope group), 70 cases were given minimally invasive percutaneous nephrolithotomy holmium laser treatment (minimally invasive percutaneous nephrolithotomy group), the success rate of two groups were observed.Result: When the diameter ≥ 2 cm, the success rate of upper, middle and lower renal calyces stones in the minimally invasive percutaneous nephrolithotomy group were significantly higher than the flexible ureteroscope group (P<0.05); When diameter <2 cm , the success rate of upper, middle renal calyces stones between two groups were not significantly different(P>0.05), and success rate of lower renal calyces stones in the minimally invasive percutaneous nephrolithotomy group were significantly higher than the flexible ureteroscope group (P<0.05).Conclusion: The effect of minimally invasive percutaneous nephrolithotomy holmium laser lithotripsy is better in upper, middle, lower calyx stones with diameter ≥ 2 cm and lower calyx stones with diameter <2 cm, should be recommended; and upper, middle renal calyces stones with diameter <2 cm should be treated with flexible ureteroscope lithotripsy.
