微通道经皮肾镜碎石与输尿管软镜碎石治疗孤立肾肾下盏2~3 cm结石的比较

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Abstract Objective To compare the effects of minimally invasive percutaneous nephrolithotomy (MPCNL) and flexible ureteroscope lithotripsy (FURL) for the treatment of solitary kidney subrenal calyx calculus 2-3 cm. Methods The clinical data of 96 cases of isolated kidney stone and treated in Baoan Central Hospital of Shenzhen from April 2013 to February 2017 were analyzed retrospectively. According to the different treatment methods, they were divided into MPCNL group (52 cases) and FURL group (44 cases), and the stone clearance rate, operation time, intraoperative bleeding, length of hospital stay, 24 hours postoperatively hemoglobin drop value and 24 hours postoperatively serum creatinine elevation value, surgical complications, and calculi composition were compared between the two groups. Results The phase 1 calculi clearance rate of MPCNL group was higher than that of FURL group (P < 0.05), but the total stone clearance rate of both groups were compared, the difference was not statistically significant (P > 0.05). The operation time of MPCNL group was shorter than that of FURL group (P < 0.01), but the intraoperative bleeding of MPCNL group higher than that of FURL group (P < 0.01), the length of hospital stay of MPCNL group was longer than that of FURL group (P < 0.01). The 24 hours postoperatively hemoglobin drop value of MPCNL group was higher than that of FURL group (P < 0.01), the 24 hours postoperativedy serum creatinine elevation value of both groups were compared, the difference was not statistically significant (P > 0.05). The surgical complications of MPCNL group and FURL group were compared, the difference was not statistically significant (P < 0.05). The calculi composition of both groups were compared, the difference was not statistically significant (P > 0.05). Conclusion In the treatment of solitary kidney subrenal calyx calculus 2-3 cm, although the phase 1 calculi clearance rate of MPCNL is higher than FURL, FURL is less bleeding, and the length of hospital stay is shorter, which could be used as an alternative treatment to some extent.

Key words： Solitary kidney； Renal calculi Percutaneous nephrolithotomy Flexible ureteroscope lithotripsy

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	ZHANG Yu1
	2 JIANG Youtao3 LI Jiuzhi3 CHEN Lezhong1 WU Yue2

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ZHANG Yu1,2 JIANG Youtao3 LI Jiuzhi3 CHEN Lezhong1 WU Yue2. Comparison of the treatment of minimally invasive percutaneous nephro?鄄lithotomy and flexible ureteroscope lithotripsy for solitary kidney subrenal calyx calculus 2-3 cm[J]. 中国医药导报, 2018, 15(6): 58-62.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I6/58

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