输尿管软镜与微通道经皮肾镜钬激光碎石术治疗肾下盏结石效果比较

Comparative study of flexible ureteroscope and mini—invasive percutaneous nephrolithotomy by holmium laser in treatment of lower-pole calculi

目的探讨输尿管软镜(FURS)与微通道经皮肾镜钬激光碎石术(m PCNL)治疗直径2.0 cm以下肾下盏结石的效果。方法随机将2015-02—2017-02间在驻马店市第一人民医就诊的80例肾下盏结石患者分为2组,每组40例。观察组应用FURS治疗,对照组实施m PCNL治疗。比较2组手术时间、术后白细胞升高值、术后住院时间、碎石成功率、术后血红蛋白下降值、高热发生率及术后止痛药使用率。结果 2组患者的术后白细胞升高值、碎石成功率、术后止痛药使用率及高热发生率比较,差异均无统计学意义(P>0.05)。对照组手术时间短于观察组,术后住院时间长于观察组,术后血红蛋白下降值大于观察组,差异均有统计学意义(P<0.05)。结论 FURS与m PCNL治疗肾下盏结石,总体疗效相当,但FURS创伤更小、术后住院时间更短。

Objective To investigate the therapeutic effect of flexible ureteroscope and mini—invasive percutaneous nephrolithotomy by holmium laser in treatment of lower-pole calculi≤2. 0 cm. Methods Totally 80 cases of lower renal calyx calculi in our hospital from 2015-02 to 2017-02 were randomly divided into 2 groups,with 40 cases in each group. The application of FURS flexible ureteroscope in the observation group,m PCNL implementation of the micro channel percutaneous nephrolithotomy holmium laser lithotripsy treatment in control group,compared 2 groups of patients with operative time,postoperative leukocytosis,postoperative hospitalization time,success rate,high fever,and the incidence of postoperative pain killing using rate. Results Compared with the observation group,the operative time of the control group was shorter than that in the observation group and the decrease of hemoglobin after operation was higher than that in the observation group( P <0. 05). Conclusion The overall effect of FURS and m PCNL in the treatment of lower renal calyx stones is equivalent,but the trauma of FURS is smaller and the time of hospitalization is shorter after the operation.