URL与MPCNL治疗老年输尿管上段结石的效果评价  

Different effects of URL and MPCNL in the treatment of elderly patients with upper ureteral calculi

作　　者：曾照锋 ZENG Zhaofeng(Dept.of Surgery,the 2nd People′s Hospital of Nankang District,Ganzhou 341411,China)

机构地区：[1]赣州市南康区第二人民医院外科,江西赣州341411

出　　处：《华夏医学》2022年第5期128-131,共4页Acta Medicinae Sinica

摘　　要：目的:探讨微创经皮肾镜取石术(MPCNL)、输尿管镜下碎石术(URL)应用于治疗老年输尿管上段结石(UUC)的临床效果。方法:选取2020年1月至2022年2月收治的78例老年UUC患者,根据随机数字表法分为MPCNL组和URL组,每组39例。MPCNL组接受MPCNL术式治疗,URL组接受URL术式治疗。观察、评价两组手术与恢复情况,结石清除率,肾功能指标血肌酐(Scr)、血尿素氮(BUN)及并发症。结果:MPCNL组手术时间、住院时间长于URL组,术中出血量多于URL组,差异有统计学意义(P<0.05);MPCNL组术后3 d、30 d结石清除率及并发症发生率高于URL组(P<0.05)。术后3 d,两组Scr、BUN水平低于术前(P<0.05)。结论:MPCNL治疗UUC的结石清除率较高,并发症也较高;URL治疗UUC的损伤小,并发症低,结石清除率也相对较低,。Objective: To investigate the different treatment effects of minimally invasive percutaneous nephrolithotomy(MPCNL) and ureteroscopic lithotripsy(URL) in elderly patients with upper ureteral calculi(UUC). Methods: A total of 78 elderly UUC patients treated in our hospital from January 2020 to February 2022 were randomized into MPCNL group and URL group, each with 39 cases. MPCNL group underwent surgical treatment with minimally invasive percutaneous nephrolithotomy, while URL group receiving surgical treatment with ureteroscopic lithotripsy. The operation and recovery, stone clearance rate, renal function indexes, serum creatinine(Scr), blood urea(BUN) and complications were evaluated and compared between patients in both groups. Results: The operation time and hospital stays in the MPCNL group was longer than that in the URL group, and the intraoperative blood loss was more than that in the URL group, and the differences were statistically significant(P<0.05);three days after operation, the levels of Scr and BUN in both groups were lower than those before operation(P<0.05). Conclusion: For UUC patients, the treatment with MPCNL has higher stone clearance rate, but it has also higher complications;by contrast, URL treatment has less damage and low complications to patients, but stone clearance rate is relatively lower.

关 键 词：输尿管上段结石 老年 微创经皮肾镜取石术 输尿管镜下碎石术 

分 类 号：R693[医药卫生—泌尿科学]