摘要
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2cm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2cm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。
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 .
出处
《重庆医学》
CAS
北大核心
2015年第30期4210-4212,共3页
Chongqing medicine
关键词
肾造口术
经皮
肾结石
临床疗效
输尿管软镜
nephrolithotomy,percutaneous
kidney calculi
clinical curative effect
flexible ureteroscope lithotripsy
