[1]钟键,卞卫星,仇佳星,等.输尿管软镜与微通道经皮肾镜治疗2～3cm肾盂结石的疗效分析[J].中华腔镜泌尿外科杂志(电子版),2018,12(03):202-205.[doi:10.3877/cma.j.issn.1674-3253.2018.03.014 ]
　Zhong Jian,Bian Weixing,Qiu Jiaxing,et al.Effect of electronic flexible ureteroscopy and mini-percutaneous nephrolithotomy in the trentment of pelvic calculi from 2 cm to 3 cm[J].,2018,12(03):202-205.[doi:10.3877/cma.j.issn.1674-3253.2018.03.014 ]
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输尿管软镜与微通道经皮肾镜治疗2～3cm肾盂结石的疗效分析()
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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03期
页码:
202-205
栏目:
临床研究
出版日期:
2018-06-20

文章信息/Info

Title:
Effect of electronic flexible ureteroscopy and mini-percutaneous nephrolithotomy in the trentment of pelvic calculi from 2 cm to 3 cm
作者:
钟键; 卞卫星; 仇佳星; 金正贤
215600 江苏，南京中医药大学张家港附属医院
Author(s):
Zhong Jian;  Bian Weixing;  Qiu Jiaxing;  Jin Zhengxian.
Department of urology, Zhangjiagang Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Jiangsu 215600, 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.1674-3253.2018.03.014
摘要:
目的比较电子输尿管软镜下钬激光碎石术（FURS）和微通道经皮肾镜下钬激光碎石术（MPCNL）治疗单发 2～3cm肾盂结石的疗效。方法回顾性分析南京中医药大学附属张家港市中医医院泌尿外科 2015年 1月至 2016年 8月收治的 56例单发 2～3cm的肾盂结石患者病例资料，32例采用电子输尿管软镜钬激光碎石术（软镜组），24例采用微通道经皮肾镜钬激光碎石术（肾镜组），比较两组手术时间、结石清除率、降钙素原和 C反应蛋白的上升量、并发症率、住院时间、治疗费用。结果两组患者性别、年龄、结石最大径、结石负荷比较差异无统计学意义（P>0.05）。软镜组结石清除率 90.6 %（29/32），降钙素原（0.9±0.2） μg/L，C反应蛋白（19.6±0.3）mg/L，并发症1例，肾镜组结石清除率 91.7 %（22/24），降钙素原（0.8±0.3） μg/L， C反应蛋白（19.3±0.7）mg/L，并发症 4例，差异均没有统计学意义（P>0.05）。软镜组手术时间（98.3±12.1）min，术后住院时间（5.1±1.6）d，总费用（3.3±0.6）万元；肾镜组手术时间（54.2±7.7） min，术后住院时间（9.3±1.7） d，总费用（2.5±0.8）万元，差异均有统计学意义（P<0.05）。结论与经皮肾镜相比较，电子输尿管软镜钬激光碎石术治疗单发 2～3 cm肾盂结石安全有效。

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备注/Memo

备注/Memo:
通讯作者：钟键，Email: zhongjie_218@163.com
更新日期/Last Update: 2018-06-20