后腹腔镜肾盂切开取石术与经皮肾镜取石术治疗单发肾盂结石的疗效比较  

Comparative analysis of the curative effect of retroperitoneoscopic pyelolithotomy and percutaneous nephrolithotomy in the treatment of single renal calculi

作　　者：王祺 陈暮霖 张斌[1] 蒋政干 季拓 靳祥钰 鲁卫民 Wang Qi;Chen Mulin;Zhang Bin;Jiang Zhenggan;Ji Tuo;Jin Xiangyu;Lu Weimin(Department of Urology,Suzhou Hospital Affiliated to Anhui Medical University,Suzhou 234000,China)

机构地区：[1]安徽医科大学附属宿州医院泌尿外科,宿州1234000

出　　处：《国际泌尿系统杂志》2023年第4期640-643,共4页International Journal of Urology and Nephrology

摘　　要：目的对比分析采用后腹腔镜肾盂切开取石术(RLP)与经皮肾镜取石术(PCNL)治疗单发肾盂结石的临床疗效。方法选取2019年1月至2021年7月在本院泌尿外科接受微创手术治疗的65例单发肾盂结石患者的病例资料进行回顾性研究,根据不同手术方式将患者分成RLP组(31例)和PCNL组(34例);对比分析两组的手术时间、术中估算出血量、结石清除率、住院时间、住院治疗费用及术后并发症等手术情况。结果RLP组的术中估算出血量、结石清除率、住院时间、术后继发性出血及发热发生率均优于PCNL组(均P<0.05),但两组的手术时间、住院治疗费用比较,差异均无统计学意义(均P>0.05)。结论在单发肾盂结石的微创治疗中,RLP较PCNL的安全性和有效性更高,可作为单发肾盂结石的首选微创手术方式。Objective To compare and analyze the treatment effects of retroperitoneal laparoscopic pyelolithotomy(RLP)and percutaneous nephrolithotomy(PCNL)in patients with single renal calculi.Methods A retrospective study was performed on 65 patients with single renal calculi,who received minimally invasive surgery in the urology department of our hospital from January 2019 to July 2021.According to different surgical methods,they were divided into RLP group(n=31)and PCNL group(n=34).Some surgical characteristics were compared between the two groups,including the operation time,estimated blood loss,stone clearance rate,average length of stay,hospitalization cost and postoperative complications.Results RLP outperformed PCNL in estimated blood loss,stone clearance rate,average length of stay,and postoperative complications rate(all P<0.05).However,there was no significant difference in operation time and hospitalization cost between the two groups(all P>0.05).Conclusions This retrospective study shows that RLP is safer and more effective than PCNL,and can be the preferred option of minimally invasive treatment in patients with single renal calculi.

关 键 词：肾结石 腹腔镜检查 肾造口术 经皮 碎石术 

分 类 号：R699.2[医药卫生—泌尿科学]