[1]刘光伟,向 彬,雷光辉△,等.经皮肾镜碎石术后二期逆行输尿管软镜结合原通道经皮肾镜碎石在复杂性肾结石治疗中的应用*[J].陕西医学杂志,2020,49(10):1240-1243.[doi:DOI:10.3969/j.issn.1000-7377.2020.10.010]
　LIU Guangwei,XIANG Bin,LEI Guanghui,et al.Application of second-stage retrograde flexible ureteroscope combined with primary percutaneous nephrolithotripsy in complex renal calculi after percutaneous nephrolithotomy[J].,2020,49(10):1240-1243.[doi:DOI:10.3969/j.issn.1000-7377.2020.10.010]
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经皮肾镜碎石术后二期逆行输尿管软镜结合原通道经皮肾镜碎石在复杂性肾结石治疗中的应用*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年10期
页码:
1240-1243
栏目:
临床研究
出版日期:
2020-10-05

文章信息/Info

Title:
Application of second-stage retrograde flexible ureteroscope combined with primary percutaneous nephrolithotripsy in complex renal calculi after percutaneous nephrolithotomy
作者:
刘光伟; 向 彬; 雷光辉△; 杨纬家; 邓美荣; 张亚龙
西电集团医院泌尿外科(西安710077)
Author(s):
LIU Guangwei; XIANG Bin; LEI Guanghui; et al.
Department of Urology,Xidian Group Hospital(Xi'an 710077)
关键词:
复杂性肾结石;  经皮肾镜碎石术;  术后;  输尿管软镜;  对比研究
Keywords:
Complex renal calculi;  Percutaneous nephrolithotomy;  Postoperative;  Flexible ureteroscopy;  Comparative study
分类号:
R692.4
DOI:
DOI:10.3969/j.issn.1000-7377.2020.10.010
文献标志码:
A
摘要:
目的:分析经皮肾镜碎石术联合输尿管软镜碎石在复杂性肾结石中的应用。方法:将40例复杂性肾结石患者,根据治疗方法的不同,分为A组(12例)应用经皮肾镜碎石术,B组(13例)一期一并行经皮肾镜碎石术联合输尿管软镜碎石,C组(15例)在经皮肾镜碎石术后二期逆行输尿管软镜结合原通道经皮肾镜碎石术。比较三组患者手术时间、结石清除率和术后并发症的发生情况等差异。结果:三组患者手术均顺利实施。A、B组手术时间的比较,差异无统计学意义(P>0.05); C组手术时间和住院天数较A、B组均明显延长(P<0.05)。B、C组结石清除率较A组显著升高(P<0.05),而B组与C组结石清除率的比较,差异无统计学意义(P>0.05)。三组患者术后并发症发生率的比较,差异无统计学意义(P>0.05)。结论:在临床治疗复杂性肾结石患者中,可将经皮肾镜碎石术与输尿管软镜碎石术相互配合,减少手术时间,增加结石清除率,且不会引起严重并发症,患者均具有良好的耐受性。
Abstract:
Objective:To analyze the application of percutaneous nephrolithotomy combined with flexible ureteroscope lithotripsy in complex renal calculi.Methods:40 patients with complex renal calculi were divided into three groups.12 cases in group A were treated with percutaneous nephrolithotomy,13 cases in group B were treated with primary-stage percutaneous nephrolithotomy combined with flexible ureteroscope lithotripsy,and 15 cases in group C were treated with second-stage retrograde flexible ureteroscope combined with percutaneous nephrolithotomy in original ureteral access.The operation time,stone clearance rate and complications were compared among the three groups.Results:All the three groups were operated smoothly.There was no significant difference in the operation time between group A and group B(P>0.05).The operation time and hospitalization days in group C were significantly longer than those in group A and group B(P<0.05).The stone clearance rate of group B and group C was significantly higher than that of group A(P<0.05),but there was no significant difference between group B and group C(P>0.05).There was no significant difference in the incidence of postoperative complications among the three groups(P>0.05).Conclusion:Percutaneous nephrolithotomy and flexible ureteroscope lithotripsy can cooperate with each other in the treatment of complicated renal calculi,which can reduce the operation time and increase the stone clearance rate without serious complications,and the patients are well tolerated.

参考文献/References:

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相似文献/References:

[1]雷光辉,高海捷△.经皮肾镜联合输尿管软镜碎石取石术对复杂性肾结石患者结石残留率、术后恢复和生活质量的影响[J].陕西医学杂志,2020,49(5):578.
　LEI Guanghui,GAO Haijie..Effect of percutaneous nephrolithotomy combined with flexible ureteroscopic lithotripsy on residual stone rate,postoperative recovery and quality of life in patients with complex renal calculi[J].,2020,49(10):578.

备注/Memo

备注/Memo:
*国家自然科学基金资助项目(81602339)
更新日期/Last Update: 2020-10-10