超细经皮肾镜对≤1 cm的无积水肾盏憩室结石的疗效  

Efficacy of ultra-fine percutaneous nephroscopy in treatment of calculi (≤1 cm) in calyceal diverticulum without hydronephrosis

作　　者：史振铎[1] 赵岩[1] 周家合[1] 郝林[1] 董秉政[1] 庞昆[1] 孙玉峰 韩从辉[1] Shi Zhenduo;Zhao Yan;Zhou Jiahe;Hao Lin;Dong Bingzheng;Pang Kun;Sun Yufeng;Han Conghui(Department of Urology,Xuzhou Central Hospital,Xuzhou 221000,China)

机构地区：[1]徐州市中心医院泌尿外科,江苏徐州221000

出　　处：《中华临床医师杂志（电子版）》2021年第2期109-112,共4页Chinese Journal of Clinicians(Electronic Edition)

基　　金：江苏省医学创新团队项目(CXTDA2017048);江苏省社会发展重点项目(BE2019637)。

摘　　要：目的探讨超细经皮肾镜治疗无积水肾盏憩室内结石(≤1 cm)的效果及临床推广应用价值。方法回顾性分析徐州市中心医院2017年5月至2019年5月收治的31例无积水肾盏憩室结石患者资料,其中17例行超细经皮肾镜碎石取石术(肾镜组),14例行输尿管软镜钬激光碎石术(软镜组)。采用独立样本t检验比较2组患者手术时间、术后血红蛋白下降值、术后住院时间的差异,采用χ^(2)检验比较清石率、术后并发症Clavien系统分级的差异。结果肾镜组手术时间短于软镜组[(47.59±6.07)min vs(53.21±5.15)min,t=-2.746,P=0.010],清石率高于软镜组(94.118%vs57.142%,P=0.028),术后并发症Clavien系统分级优于软镜组(P=0.031),差异均具有统计学意义,但术后血红蛋白下降值和住院时间方面2组比较,差异无统计学意义(P>0.05)。结论对于≤1 cm的无积水肾盏憩室内结石采用超细经皮肾镜碎石取石术治疗是一种安全、有效、快速的方法。Objective To investigate the clinical value of ultra-fine percutaneous nephroscopy in the treatment of calculi(≤1 cm)in calyceal diverticulum without hydronephrosis.Methods A retrospective analysis was performed on data of 31 cases with calculi in calyceal diverticulum without hydronephrosis at Xuzhou Central Hospital from May 2017 to May 2019,including 17 cases of ultra-fine percutaneous nephrolithotripsy(UMP group)and 14 cases of ureteral holmium laser lithotripsy(RIRS group).The operative time,postoperative hemoglobin reduction,and postoperative hospital stay were compared by the independent sample t-test between the two groups,and the χ^(2) test was used to compare the difference of stone removal rate and the Clavien grade of postoperative complications.Results The time of operation in the UMP group was shorter than that in the RIRS group[(47.59±6.07)min vs(53.21±5.15)min,t=-2.746,P=0.010],and the rate of stone removal was higher than that in the RIRS group(94.118%vs 57.142%,P=0.028).The Clavien grade of postoperative complications was significantly better than that in the RIRS group(P=0.031).However,there was no significant difference between the two groups in terms of hemoglobin reduction and hospital stay(P>0.05).Conclusion Ultra-fine percutaneous nephroscopy is a safe,effective,and rapid method to treat calculi in calyceal diverticulum without hydrocephalus,which is less than 1 cm.

关 键 词：超细经皮肾镜 肾盏憩室结石 输尿管软镜 

分 类 号：R699.2[医药卫生—泌尿科学]