摘要
目的比较一期多通道微创经皮肾镜联合输尿管镜钬激光碎石(multi-MPCNL组)与单通道MPCNL结合ESWL(single-MPCNL组)治疗鹿角形肾结石的疗效。方法2005年9月～2007年9月对48例鹿角形肾结石患者进行随机分组,其中multi-MPCNL组治疗27例、single-MPCNL组治疗21例,比较两组的手术时间、术中出血量、住院时间、输血率、并发症发生率,术后3个月随访并评价结石清除率和治疗费用。结果与single-MPCNL组相比,multi-MPCNL组手术时间短([123±26)minvs(167±31)min,t=5.35,P=0.000],术后住院时间短([4.62±1.42)dvs(5.90±1.81)d,t=2.74,P=0.009],总治疗费用低([79.11±9.87)vs(98.81±10.34)×100元,t=6.71,P=0.000];但手术前后血红蛋白下降、输血率和并发症发生率等差异均无显著性。术后3个月,multi-MPCNL组结石清除率稍高于single-MPCNL组[88.89%(24/27)vs76.19%(16/21),χ2=0.610,P=0.435]。结论一期多通道微创经皮肾镜联合输尿管镜钬激光碎石治疗鹿角形肾结石取石速度快,住院时间短,恢复快,结石清除率较高,并发症低,经济方便,可作为较大鹿角形肾结石治疗的首选治疗方法。
[Objective] To investigate the clinical efficacy and safety of the multiple tracts minimally invasively pertutaneous nephrolithotomy combined with ureteroscope holmium laser (multi-MPCNL) in a single session compared with the procedures of requiring a single tract (single-MPCNL) combined with ESWL(extracorporeal shock wave lithotripsy) for the renal staghorn calculi. [Methods] Clinical data of 48 cases of staghorn calculi was analysed from September 2005 to September 2007, including 27 cases treated by mult...
出处
《中国内镜杂志》
CSCD
北大核心
2008年第9期906-909,共4页
China Journal of Endoscopy
关键词
鹿角形肾结石
微创经皮肾镜碎石术
钬激光
renal staghorn calculi
minimally invasively percutaneous nephrolithotomy
holmium laser
