[1]雷光远 雷鸣 刘永达 罗金泰 张泽 袁坚 黄泽瑞.微创经皮肾镜治疗孤立肾与非孤立肾 结石的比较[J].中华腔镜泌尿外科杂志(电子版),2016,10(02):104-107.[doi:10.3877/cma.j.issn.1674-3253.2016.02.009]
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微创经皮肾镜治疗孤立肾与非孤立肾 结石的比较()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
10
期数:
2016年02期
页码:
104-107
栏目:
临床研究
出版日期:
2016-05-30

文章信息/Info

作者:
雷光远1 雷鸣1 刘永达1 罗金泰1 张泽1 袁坚1 黄泽瑞2
510230 广东,广州医科大学第一附属医院微创外科中心泌尿外科,广东省泌尿外科重点实验室1, 415500 湖南,澧县人民医院泌尿外科2
关键词:
肾造口术经皮 微创 孤立肾 肾结石
DOI:
10.3877/cma.j.issn.1674-3253.2016.02.009
摘要:
目的比较微创经皮肾镜碎石取石术(MPCNL)治疗孤立肾与非孤立肾肾结石的安全 性和有效性。方法回顾性收集广州医科大学第一附属医院2011 年9 月至2014 年6 月采用MPCNL 治疗孤立肾与非孤立肾结石患者一期手术的资料。孤立肾组128 例,非孤立肾单侧肾结石组530 例。 依据年龄、体质量指数、合并症、手术史、结石大小、结石位置、肾积水成功匹配94 对,比较两组的手术 时间、血红蛋白下降值、结石清除率、并发症。结果孤立肾组及非孤立肾组在年龄、体质量指数、合并 症、手术史、结石大小、结石位置、肾积水方面差异无统计学意义。平均手术时间为(60.7依33.8)min 和 (56.3依31.2)min,差异无统计学意义( =0.381)。术后48 h 平均血红蛋白下降值为(12.7依11.3)g/L 和 (11.8依9.9)g/L,差异无统计学意义( =0.588)。一期术后48 h 结石清除率为55.3%(52 例)和62.8%(59 例),差异无统计学意义( =0.299)。术后并发症发生率分别为20.2%(19 例)和17%(16 例),差异无 统计学意义( =0.55)。结论MPCNL 治疗孤立肾结石与非孤立肾结石一期手术的安全性和有效性相似。

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备注/Memo

备注/Memo:
基金项目:广东省科技厅项目(2013B021800190) 作者单位:510230 广东,广州医科大学第一附属医院微创外科中心泌尿外科,广东省泌尿外科重点实验室1, 415500 湖南,澧县人民医院泌尿外科2 通讯作者:雷鸣,Email:lmlm_leiming@126.com
更新日期/Last Update: 2016-04-01