[1]罗立旷,湛海伦,李文标,等.微通道经皮肾镜在上尿路结石合并糖尿病患者中的应用[J].中华腔镜泌尿外科杂志(电子版),2018,12(01):20-23.[doi:10.3877/cma.j.issn.1674-3253.2018.01.006 ]
 Luo Likuang,Zhan Hailun,Li Wenbiao,et al.Micro channel percutaneous nephrolithotripsy in treating upper ureteral calculi complicated with diabetes[J].,2018,12(01):20-23.[doi:10.3877/cma.j.issn.1674-3253.2018.01.006 ]
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微通道经皮肾镜在上尿路结石合并糖尿病患者中的应用()
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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:
12卷
期数:
2018年01期
页码:
20-23
栏目:
临床研究
出版日期:
2018-01-31

文章信息/Info

Title:
Micro channel percutaneous nephrolithotripsy in treating upper ureteral calculi complicated with diabetes
作者:
罗立旷1湛海伦2李文标2倪恩德2廖伟强1刘创明1
527200 广东,罗定市人民医院泌尿外科1; 510530 广州,中山大学附属第三医院岭南医院泌尿外科2
Author(s):
Luo Likuang1 Zhan Hailun2 Li Wenbiao2 Ni Ende2 Liao Weiqiang1 Liu Chuangming1.
1Department of Urology, Luoding People's Hospital. Guangdong 527200, China; 2Department of Urology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510530, China
关键词:
微通道经皮肾镜 上尿路结石 糖尿病
DOI:
10.3877/cma.j.issn.1674-3253.2018.01.006
摘要:
目的 探讨微通道经皮肾镜碎石取石术(MPCNL)治疗合并糖尿病的上尿路结石患者的安全性和疗效。方法 回顾性分析2011 年10 月到2015 年9 月罗定市人民医院行MPCNL 的83 例患有糖尿病的上尿路结石患者的病例资料,并选择83 例同期行MPCNL 的非糖尿病患者,比较两组患者术前的一般情况、手术时间、出血量、结石清除率、住院时间、并发症等。结果 两组患者年龄、性别、体质量指数、结石大小等一般情况比较差异无统计学意义(P>0.05),糖尿病组患者与非糖尿病组患者在手术时间[(82±29) min vs(77±30) min,P=0.306]、血红蛋白下降[(1.8±0.7)g/L vs(1.7±0.6)g/L,P=0.325]、全身炎症反应综合征(SIRS)发生率(26.5% vs 22.9%,P=0.719)、结石清除率(92.8% vs 95.2%,P=0.746)、住院时间[(11.2±2.3)d vs(10.8±2.1)d,P=0.244] 等方面差异均无统计学意义。结论 MPCNL 治疗上尿路结石伴有糖尿病的患者时,出血与感染风险与非糖尿病患者相比无明显差异,是一种安全有效的治疗手段。

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备注/Memo

备注/Memo:
通讯作者:湛海伦,Email:hailunzhan@aliyun.com
更新日期/Last Update: 2018-02-25