重庆医学
重慶醫學
중경의학
Chongqing Medicine
2015年
30期
4210-4212
,共3页
彭境罗%周刚%刘幸生%姜庆
彭境囉%週剛%劉倖生%薑慶
팽경라%주강%류행생%강경
肾造口术 ,经皮%肾结石%临床疗效%输尿管软镜
腎造口術 ,經皮%腎結石%臨床療效%輸尿管軟鏡
신조구술 ,경피%신결석%림상료효%수뇨관연경
nephrolithotomy,percutaneous%kidney calculi%clinical curative effect%flexible ureteroscope lithotripsy
目的：对比经皮肾镜碎石取石术（PCNL）与输尿管软镜碎石取石术（FURL）治疗直径小于或等于2 cm肾结石的临床疗效。方法回顾性分析该院2014年1～12月符合病例入选标准的肾结石患者148例，其中PCNL组患者81例，FURL组患者67例，比较两组患者的临床疗效。结果两组患者一次结石清除率、术后发热率、术后血白细胞（WBC ）增高值的比较，差异均无统计学意义（P＞0．05）。PCNL组手术时间（64．21±11．71）min短于 FURL组（107．32±16．35）min ，PCNL组术后住院时间（6．51±1．92）d长于FURL组（3．28±1．24）d ，PCNL组术后血红蛋白（Hb）下降值（13．31±2．71）g／L高于 FURL 组（3．88±2．10）g／L ，PCNL组术后超敏C反应蛋白（hs‐CRP）增高值（14．21±1．62）mg／L高于FURL组（5．23±1．14）mg／L ，两组比较差异均有统计学意义（P＜0．05）。结论对于直径小于或等于2 cm的肾结石，FURL在减少术后出血、缩短患者术后住院时间、降低手术对机体的创伤等方面具有一定的优势，值得临床推广应用。
目的：對比經皮腎鏡碎石取石術（PCNL）與輸尿管軟鏡碎石取石術（FURL）治療直徑小于或等于2 cm腎結石的臨床療效。方法迴顧性分析該院2014年1～12月符閤病例入選標準的腎結石患者148例，其中PCNL組患者81例，FURL組患者67例，比較兩組患者的臨床療效。結果兩組患者一次結石清除率、術後髮熱率、術後血白細胞（WBC ）增高值的比較，差異均無統計學意義（P＞0．05）。PCNL組手術時間（64．21±11．71）min短于 FURL組（107．32±16．35）min ，PCNL組術後住院時間（6．51±1．92）d長于FURL組（3．28±1．24）d ，PCNL組術後血紅蛋白（Hb）下降值（13．31±2．71）g／L高于 FURL 組（3．88±2．10）g／L ，PCNL組術後超敏C反應蛋白（hs‐CRP）增高值（14．21±1．62）mg／L高于FURL組（5．23±1．14）mg／L ，兩組比較差異均有統計學意義（P＜0．05）。結論對于直徑小于或等于2 cm的腎結石，FURL在減少術後齣血、縮短患者術後住院時間、降低手術對機體的創傷等方麵具有一定的優勢，值得臨床推廣應用。
목적：대비경피신경쇄석취석술（PCNL）여수뇨관연경쇄석취석술（FURL）치료직경소우혹등우2 cm신결석적림상료효。방법회고성분석해원2014년1～12월부합병례입선표준적신결석환자148례，기중PCNL조환자81례，FURL조환자67례，비교량조환자적림상료효。결과량조환자일차결석청제솔、술후발열솔、술후혈백세포（WBC ）증고치적비교，차이균무통계학의의（P＞0．05）。PCNL조수술시간（64．21±11．71）min단우 FURL조（107．32±16．35）min ，PCNL조술후주원시간（6．51±1．92）d장우FURL조（3．28±1．24）d ，PCNL조술후혈홍단백（Hb）하강치（13．31±2．71）g／L고우 FURL 조（3．88±2．10）g／L ，PCNL조술후초민C반응단백（hs‐CRP）증고치（14．21±1．62）mg／L고우FURL조（5．23±1．14）mg／L ，량조비교차이균유통계학의의（P＜0．05）。결론대우직경소우혹등우2 cm적신결석，FURL재감소술후출혈、축단환자술후주원시간、강저수술대궤체적창상등방면구유일정적우세，치득림상추엄응용。
Objective To compare the clinical curative effect of percutaneous nephrolithotomy (PCNL) and flexible uretero‐scope lithotripsy (FURL) for the treatment of renal calculus ≤2 cm .Methods Totally 148 patients with kidney stone ≤2 cm whom have taken operation treatment in our hospital were chosen from January 2014 to December 2014 .Among them ,81 patients were taken PCNL treatment (PCNL group) and 67 patients were taken FURL treatment (FURL group) .Clinical curative effect were compared .Results There was no statistically significant difference in the comparison of stone clearance rate ,fever rate and postoperative WBC increase (P>0 .05);the operation time of PCNL group (64 .21 ± 11 .71)min was shorten than the FURL group (107 .32 ± 16 .35)min ,the postoperative hospital stay of PCNL group (6 .51 ± 1 .92)d was longer than the FURL group (3 .28 ± 1 .24)d ,the Hb decrease after operation of PCNL group (13 .31 ± 2 .71)g/L was higher than the FURL group (3 .88 ± 2 .10)g/L , the postoperative hs CRP increase of PCNL group (14 .21 ± 1 .62)mg/L was higher than the FURL group (5 .23 ± 1 .14)mg/L ,the differences were statistically significant (P<0 .05) .Conclusion For the treatment of renal calculus ≤2 cm ,the FURL has a great advantage on reducing postoperative complications ,decreasing the trauma of operation and shorten postoperative hospital stay .
