输尿管软镜碎石术联合微创经皮肾镜取石术治疗部分鹿角状肾结石的有效性及安全性分析

Efficacy and safety of ureteroscopic lithotripsy combined with minimally invasive percutaneous nephrolithotomy in the treatment of partial staghorn renal calculi

目的分析输尿管软镜碎石术联合微创经皮肾镜取石术治疗部分鹿角状肾结石的有效性及安全性。方法将入我院治疗的84例部分鹿角状肾结石患者,根据治疗方法分为观察组与对照组,各42例。对照组采用微创经皮肾镜取石术,观察组采用输尿管软镜碎石术联合微创经皮肾镜取石术,比较两组患者的临床疗效。结果观察组Ⅰ期与综合结石清除率分别为90.48%、95.24%,分别高于对照组的47.62%、66.67%(P<0.05);术中出血量为(9.22±1.51)mL,少于对照组的(23.11±6.40)m L(P<0.05);并发症总发生率为2.38%,低于对照组的11.90%(P<0.05)。结论鹿角状肾结石患者实施输尿管软镜碎石术联合微创经皮肾镜取石术治疗,效果满意。

Objective To evaluate the efficacy and safety of ureteroscopic lithotripsy combined with minimally invasive percutaneous nephrolithotomy on staghorn renal calculi. Methods A total of 84 cases of patients with staghorn renal calculi in our hospital were divided into observation group and control group according to the treatment methods, with 42 cases in each group. The control group used minimally invasive percutaneous nephrolithotomy, the observation group used uretero- seopie lithotripsy combined with minimally invasive percutaneous nephrolithotomy. The clinical effects between the two groups were compared. Results In the observation group, the removal rate of stone in the I stage were 90.48%, and compre- hensive removal rate was 95.24%, which were respectively higher than 47.62%, 66.67% in the control group （P〈0.05）; the intraoperative bleeding was （9.22±1.51） mL in the observation group, which was significantly less than （23.11±6.40） mL in the control group （P〈0.05）; the total incidence rate of complications in the observation group was 2.38%, which was lower than 11.90% in the control group （P〈0.05）. Conclusion In the treatment of staghorn renal calculi, ureteroscopic lithotripsy combined with minimally invasive percutaneous nephrolithotomy has satisfactory effect.