[1]冷松柏,钟毅,黄明.输尿管软镜与微通道经皮肾镜治疗肾结石（≤2 cm）的比较[J].中华腔镜泌尿外科杂志(电子版),2017,11(01):38-41.[doi:10.3877/cma.j.issn.1674-3253.2017.01.009 ]
　Leng Songbai,Zhong Yi,Huang Ming..Comparison of flexible ureteroscope lithotripsy and microchannel percutaneous nephrolithotomy lithotripsy for treatment of kidney stones (≤2 cm)[J].,2017,11(01):38-41.[doi:10.3877/cma.j.issn.1674-3253.2017.01.009 ]
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输尿管软镜与微通道经皮肾镜治疗肾结石（≤2 cm）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:
11
期数:
2017年01期
页码:
38-41
栏目:
临床研究
出版日期:
2017-03-06

文章信息/Info

Title:
Comparison of flexible ureteroscope lithotripsy and microchannel percutaneous nephrolithotomy lithotripsy for treatment of kidney stones (≤2 cm)
作者:
冷松柏1; 钟毅2; 黄明2
341000 赣州，赣南医学院研究生院1；341000 赣州，赣南医学院第三附属医院泌尿外科2
Author(s):
Leng Songbai1;  Zhong Yi2;  Huang Ming2.
Department of Urology, the Third Affiliated Hospital of Gannan Medical University, Jiangxi 341000, China
关键词:
输尿管软镜;  经皮肾镜;  肾结石;  钬激光
DOI:
10.3877/cma.j.issn.1674-3253.2017.01.009
摘要:
目的 通过输尿管软镜下钬激光碎石取石术及微通道经皮肾镜钬激光碎石取石术治疗肾结石（≤2 cm）对比研究，探讨输尿管软镜下取石术在中小体积肾结石微创治疗中的优势与价值。方法 回顾性分析2014年1月至2015年12月在赣南医学院第三附属医院行肾结石（≤2 cm）手术治疗的283例患者病历资料，其中采用输尿管软镜下取石术治疗137例，采用微通道经皮肾镜碎石取石术治疗146例。比较两种碎石术的结石清除率、平均手术时间、术后下床活动时间、平均住院时间、术后血红蛋白下降水平以及术后各种并发症。结果 输尿管软镜下取石术组术后下床活动时间、平均住院时间、术后血红蛋白下降水平及手术时间都明显低于微通道经皮肾镜取石术组（6.7±1.4）h vs （14.6±2.1）h，（49±5）h vs （120±19）h，（3.9±0.7）g/L vs （19.5±12.0）g/L， （36±14）h vs（54±17） h，差异有统计学意义（P<0.01）；术后两者结石清除率分别为95.89%和94.89%（χ2=0.150，P=0.699），差异无统计意义（P=0.687）；两者并发症发生率差异无统计意义（χ2=0.150，P>0.05）。结论 运用输尿管软镜下取石术治疗肾结石（≤2 cm），具有手术所需时间短，创伤小，术中出血量少，术后恢复快等优点。

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：江西省赣南医学院研究生创新资金项目（YC2005-X008）
通讯作者：黄明，Email: hming666@126.com
更新日期/Last Update: 2017-02-20