经皮肾镜与输尿管软镜治疗肾盏憩室结石的比较

Comparison of percutaneous nephrolithotomy and flexible ureterorenoscopy in management of calyceal diverticular calculi

目的探讨经皮肾镜超声碎石取石术与输尿管软镜钬激光碎石取石术治疗肾盏憩室结石的临床疗效。方法回顾性分析2010年6月至2017年7月,我院采用经皮肾镜治疗的20例肾盏憩室结石患者及输尿管软镜治疗的18例肾盏憩室结石患者的资料,比较两种术式在手术时间、术中出血量及术后住院时间、并发症发生率、碎石成功率及憩室改善情况等。结果输尿管软镜手术组的手术时间、术中出血量及术后住院时间等指标明显优于经皮肾镜组(P<0.05);而在手术并发症、碎石成功率及完全清石率方面结果差异均无统计学意义(P>0.05)。术后6个月随访发现,两组肾盏憩室融合或是明显减小者比例差异无统计学意义(P>0.05)。结论经皮肾镜及输尿管软镜在肾盏憩室结石治疗方面均可取得满意疗效。

Objective To investigate the clinical effect of percutaneous nephrolithotomy(PCNL)and flexible ureterorenoscopy(F-URS)in the management of caliceal diverticular calculi.Methods A retrospective review was performed on 20 patients with caliceal diverticular calculi who underwent PCNL and 18 patients with caliceal diverticular calculi who underwent F-URS between June 2010 and July 2017.The following parameters such as operative time,blood loss,hospitalization time in postoperative,surgical complications and success rate were analyzed.Results Comparing to the PCNL group,F-URS group has advantages in the average operation time,estimated blood loss and mean hospitalization time in postoperative(P<0.05).There were no differences of the incidence of surgical complications,the success rate,the stone free rate and the improvement rate of diverticulum between PCNL group and F-URS group(P>0.05).Conclusion Both PCNL and F-URS are effective for caliceal diverticular calculi.