|
|
|
| Clinical study of minimally invasive percutaneous nephrolithotomy combined with flexible ureteroscopy in the treatment of complex kidney stones |
| LIU Jiang GUO Li-hui MIAO Xiao-hong WANG Zhi-wei ZHONG Shao-yun |
| Department of Urology, Xingang Central Hospital, Jiangxi Province, Xinyu 338000, China |
|
|
|
|
Abstract Objective To explore the clinical value of minimally invasive percutaneous nephrolithotomy (mPCNL) combined with flexible ureteroscopy in the treatment of complex kidney stones, and to provide guidance for optimizing the treatment plan.Methods A total of 60 patients with complicated kidney stones admitted in Xingang Central Hospital from January 2018 to December 2019 were selected as the research objects and divided into the control group and the study group according to the random number table method, with 30 cases in each group.The control group chose standard channel percutaneous nephroscope holmium laser lithotripsy, and the study group chose mPCNL combined with flexible ureteroscope holmium laser lithotripsy.The perioperative changes in related indicators, the levels of serum cortisol (Cor) and C-reactive protein (CRP) before and the next day after the operation, the urinary tract infections and stone clearance counted 3 days after the operation of two groups were compared.Results The operation time of the study group was longer than that of the control group, and the blood loss during operation was fewer than that of the control group, the postoperative hospital stay was shoter than that of the control group, the differences were statistically significant (P＜0.05).The comparison of serum Cor and CRP before operation between the two groups was not statistically significant (P＞0.05).The serum levels of Cor and CRP on the next day after surgery were lower than those before surgery, and the above indicators of the study group were lower than those of the control group, the differences were statistically significant(P＜0.05).The incidence of urinary tract infection in the study group was lower than that in the control group, and the stone clearance rate was higher than that in the control group, the differences were statistically significant (P＜0.05).Conclusion The mPCNL combined with flexible ureteroscopy for patients with complex kidney stones has a better effect, which can control and reduce intraoperative blood loss, shorten postoperative hospital stay, reduce serum Cor and CRP levels and the risk of urinary tract infections, and improve stone removal.
|
|
|
|
|
|
| [3] |
马龙，王卫妮，张争春，等.多通道与单通道经皮肾镜取石术联合输尿管软镜治疗复杂性肾结石[J].西部医学，2017，29（12）：1714-1717，1722.
|
| [1] |
刘森.微创经皮肾镜取石术联合输尿管软镜治疗复杂性肾结石疗效研究[J].陕西医学杂志，2018，47（2）：196-198.
|
| [2] |
余虓.经皮肾镜联合输尿管软镜治疗复杂性肾结石的展望[J].临床外科杂志，2017，25（2）：102-103.
|
| [4] |
邓青富，朱永生，裴利军，等.单微通道经皮肾镜联合输尿管软镜治疗复杂肾结石的疗效评价[J].贵州医药，2017，41（3）：296-297.
|
| [5] |
汪隆旺，肖瑞海，余义，等.侧卧斜仰截石位单通道微创经皮肾镜联合输尿管软镜一期治疗复杂性肾结石的疗效观察[J].临床泌尿外科杂志，2017，32（6）：422-425.
|
| [6] |
徐鑫，蒋召强，刁统祥，等.经皮肾镜取石术与输尿管软镜碎石术治疗肾结石的Meta 分析[J].临床泌尿外科杂志，2017，32（5）：365-369.
|
| [7] |
刘津念，郑剑，殷永健，等.标准通道经皮肾镜取石术联合输尿管软镜钬激光碎石术治疗上尿路结石的疗效观察[J].实用医院临床杂志，2019，16（1）：172-175.
|
| [8] |
王官峰，陈如，马锋.输尿管软镜碎石术联合微创经皮肾镜取石术治疗部分鹿角状肾结的临床疗效分析[J].临床外科杂志，2017，25（4）：304-306.
|
| [9] |
石英，张悦，李凯，等.经皮肾镜和输尿管软镜钬激光碎石分阶段处理复杂性肾结石临床探讨[J].重庆医学，2017，46（5）：687-689.
|
| [10] |
管唯靓，范明齐，黄赤兵.微创经皮肾镜与输尿管软镜治疗较大肾结石的疗效比较[J].西南国防医药，2017，27（12）：1274-1276.
|
| [11] |
周震，蒋宏毅.可视微通道经皮肾镜一期取石术联合逆行输尿管软镜钬激光碎石术治疗复杂性肾结石的临床研究[J].国际泌尿系统杂志，2020，40（1）：76-79.
|
| [12] |
唐浩，陈松宁，杨水华.经皮肾镜联合输尿管软镜钬激光碎石术治疗复杂性肾结石的临床疗效分析[J].安徽医药，2016，20（2）：341-343.
|
| [13] |
林炜，程曙杰，奚雪滔，等.微创经皮肾镜取石术联合Ⅱ期逆行输尿管软镜治疗复杂性肾结石的疗效观察[J].现代泌尿外科杂志，2017，22（8）：608-610，617.
|
| [14] |
汪彬，许景东，项华.经皮肾镜联合输尿管软镜治疗对复杂性肾结石BMG、BUA 的影响及临床疗效分析[J].国际泌尿系统杂志，2019，39（1）：60-63.
|
| [15] |
李晶，邓骞，刘全海，等.经皮肾镜碎石术联合顺行和逆行输尿管软镜治疗复杂性肾结石的临床研究[J].海南医学，2019，30（11）：1388-1390.
|
|
|
|
