B超引导下经皮肾镜双导管碎石术与气压弹道联合超声碎石术治疗鹿角形肾结石的疗效比较  

Comparison of Cyberwand dual probe lithotriptor and Swiss lithoclast master in ultrasonically guided percutaneous nephrolithotomy for renal staghorn calculi

作　　者：李杨[1] 曾峰[1] 杨中青[1] 陈合群[1] 

机构地区：[1]中南大学湘雅医院泌尿外科,长沙410008

出　　处：《中南大学学报（医学版）》2013年第8期853-856,共4页Journal of Central South University ：Medical Science

摘　　要：目的:评价B超引导下经皮肾镜Cyberward双导管碎石术和气压弹道联合超声碎石术对于鹿角形肾结石的疗效。方法:前瞻性地将138例鹿角形肾结石患者随机分成双导管组(A组,n=71)和弹道联合超声组(B组,n=67)。比较两组间术前资料、手术时间、出血量、住院时间、住院费用、并发症。结果:两组均成功建立通道并且行一期碎石,术前两组间结石大小、年龄构成、合并症等均未见差别。术中碎石时间A组明显短于B组[(77.14±21.39)vs(84.25±20.62)mL,P=0.049],术中出血量以及术后诸指标差异无统计学意义。两组一期结石清除率分别为67.6%和70.1%,差别无统计学意义(P=0.854)。结论:两种碎石方法对于鹿角形肾结石均安全有效。双导管碎石术更加高效,操作更简单。Objective： To evaluate and compare the efficiency and safety of Cyberwand dual probe lithotriptor and Swiss lithoclast master in percutaneous nephrolithotomy for renal staghorn calculi. Methods： A total of 138 patients with renal staghom calculi were divided randomly into a Cyberwand dual probe lithotripter group （Group A, n=71） and a Swiss lithodast master group（Group B, n=67）. The data for operative time, blood loss volume, one-stage calculus clearance rate, hospitalization time, cost of hospitalization and complication in the two groups were collected and compared. Results： The renal access was established successfully and the one-stage percutaneous nephrolithotomy （PCNL） was performed in the 2 groups. There was no significant difference in the size of stones, the age of patients and the complications between the 2 groups before theoperations. Intraoperative gravel time in the Group A was significantly shorter than that in the Group B （77.14±21.39 vs 84.25±20.62, P=0.049）. There was no significant difference in the one-staged stone dearance rate, blood loss volume in the operation between the 2 groups. The one-staged stone clearance rate in the 2 groups were 67.6% （48/71） and 70.1% （47/67） respectively, with no significant difference （P=0.854）. Conclusion： Two lithotrities were safe and efficient for renal staghorn calculi. But comparing with Swiss lithodast master, Cyberwand dual probe lithotriptor is more efficient and convenient.

关 键 词：Cyberward双导管 弹道合并超声 鹿角形肾结石 

分 类 号：R699[医药卫生—泌尿科学]