微通道经皮肾镜碎石术与输尿管软镜碎石术治疗老年2.0~3.0cm肾结石患者的效果比较  

Comparison of effects of microchannel percutaneous nephrolithotomy and flexible ureteroscopic lithotripsy in treatment of elderly patients with 2.0-3.0 cm renal calculi

作　　者：苏旭东 SU Xudong(Department of Urology of Zhangzhou Zhengxing Hospital,Zhangzhou 363000 Fujian,China)

机构地区：[1]漳州正兴医院泌尿外科,福建漳州363000

出　　处：《中国民康医学》2025年第6期146-148,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较微通道经皮肾镜碎石术与输尿管软镜碎石术治疗老年2.0~3.0 cm肾结石患者的效果。方法:回顾性分析2022年12月至2024年1月该院收治的76例老年2.0~3.0 cm肾结石患者的临床资料,按照术式不同将其分为研究组和对照组各38例。研究组行微通道经皮肾镜碎石术治疗,对照组行输尿管软镜碎石术治疗,比较两组手术相关指标(碎石时间、术中出血量、住院时间)水平、结石清除率、二次治疗率和并发症发生率。结果:研究组碎石时间短于对照组,术中出血量多于对照组,住院时间长于对照组,差异有统计学意义(P<0.05);术后1周,研究组结石清除率为78.95%,高于对照组的57.89%,差异有统计学意义(P<0.05);两组术后4周结石清除率、二次治疗率比较,差异均无统计学意义(P>0.05);两组术后并发症发生率比较,差异无统计学意义(P>0.05)。结论:微通道经皮肾镜碎石术治疗老年2.0~3.0 cm肾结石患者可缩短碎石时间,提高结石清除率的效果优于输尿管软镜碎石术治疗,但会增加术中出血量,延长住院时间。Objective:To compare effects of microchannel percutaneous nephrolithotomy and flexible ureteroscopic lithotripsy in treatment of elderly patients with 2.0-3.0 cm renal calculi.Methods:The clinical data of 76 elderly patients with 2.0-3.0 cm renal calculi admitted to this hospital from December 2022 to January 2024 were retrospectively analyzed.According to different surgical methods,they were divided into study group and control group,38 cases in each.The study group was treated with microchannel percutaneous nephrolithotomy,while the control group was treated with flexible ureteroscopic lithotripsy.The operation related indexes(lithotripsy time,intraoperative blood loss,hospitalization time)levels,the stone clearance rate,the secondary treatment rate,and the incidence of postoperative complications were compared between the two groups.Results:The lithotripsy time of the study group was shorter than that of the control group,the intraoperative blood loss was more than that of the control group,the hospitalization time was longer than that of the control group,and the differences were statistically significant(P<0.05).One week after the surgery,the stone clearance rate of the study group was 78.95%,which was higher than 57.89%of the control group,and the difference was statistically significant(P<0.05).There were no significant differences in the stone clearance rate and the secondary treatment rate between the two groups 4 weeks after the surgery(P>0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusions:Microchannel percutaneous nephrolithotomy in the treatment of the elderly patients with 2.0-3.0 cm renal calculi can shorten the lithotripsy time and improve the stone clearance rate.It is superior to flexible ureteroscopic lithotripsy,but it needs to increase the amount of intraoperative blood loss and prolong the hospitalization time.

关 键 词：输尿管软镜碎石术 微通道经皮肾镜碎石术 老年 肾结石 结石清除率 

分 类 号：R692.4[医药卫生—泌尿科学]