经皮肾穿刺微造瘘联合输尿管软镜碎石术与经皮肾镜碎石术治疗肾结石的疗效比较

Efficacy of percutaneous nephrostomy and flexible ureteroscopic lithotripsy versus percutaneous nephrolithotripsy in nephrolithiasis

目的 比较经皮肾穿刺微造瘘联合输尿管软镜碎石术与经皮肾镜碎石术治疗肾结石的疗效。方法 86例肾结石患者随机分为对照组和观察组,分别应用经皮肾镜碎石术或经皮肾穿刺微造瘘联合输尿管软镜碎石术,比较两组手术出血量、手术时间、住院时间和费用、碎石成功率、术后肾功能恢复、并发症、满意度。结果 与对照组比较,观察组手术出血量、并发症较低(P<0.05),术后肾功能恢复更显著(P<0.01),满意度更好(P<0.05)。结论 肾穿刺微造瘘联合输尿管软镜碎石术治疗肾结石患者可有效改善肾功能、减少并发症。

Objective To compare the efficacy of percutaneous nephrostomy(PCNS) and flexible ureteroscopic lithotripsy(fURL) versus percutaneous nephrolithotripsy(PCNL) in nephrolithiasis. Methods Eighty-six patients with nephrolithiasis were randomly treated with PCNL(control group) or PCNS and fURL(observation group). Intraoperatve blood loss, operation time, hospital stay and cost, success rate of lithotripsy, postoperative renal function recovery, complications, and satisfaction were compared between two groups. Results Compared with control group, intraoperatve blood loss and complications were lower(P<0.05), postoperative renal function recovery was better(P<0.01), and satisfaction was higher(P<0.05) in observation group. Conclusion Combined PCNS and fURL can improve renal function and reduce complications in patients with nephrolithiasis.