改进型超声引导下针状可视肾镜(Needle perc)钬激光碎石术治疗肾下盏结石的临床评价:与输尿管软镜对比
Clinical evaluation of modified ultrasound-guided needle-like visible nephroscope(Needle perc)holmium laser lithotripsy for the treatment of calyceal stones:compared with flexible ureteroscopy
吴辉 1孔莹莹 1高江涛 1陈松林 1杨银毫 1李纪华1
作者信息
- 1. 郑州市第一人民医院泌尿外科,河南郑州 450000
- 折叠
摘要
目的 比较改进型超声引导下针状可视肾镜(Needle perc)钬激光碎石术和输尿管软镜下钬激光碎石术治疗1～2 cm肾下盏结石的效果,为临床治疗方式的选择提供参考.方法 回顾性分析2022年1月-2023年5月郑州市第一人民医院收治的60例肾内单发下盏结石(最大径1～2 cm)患者的临床资料,比较行输尿管软镜钬激光碎石术的30例患者(软镜组)和改进型超声引导下Needle perc钬激光碎石术的30例患者(Needle perc组)的临床资料.结果 Needle perc组较软镜组的整体住院时间[(3.00±1.25)d vs.(4.00±1.25)d]、手术时间[(44.63±5.42)min vs.(48.50±7.24)min]和住院花费[(15 518±441)元 vs.(16 872±903)元]均较少(P＜0.05).Needle perc 组术后清石率高于软镜组[93.3％(28/30)vs.50.7％(15/30),P＜0.001)].术后降钙素原(PCT)上升幅度低于软镜组[(0.02±0.01)vs.(0.12±0.18),P=0.007],而并发症发生率低于软镜组[3.3％(1/30)vs.26.7％(8/30),P=0.030].结论 对于1～2 cm的肾下盏单发结石,改进型超声引导下Needle perc钬激光碎石术清石率较高、并发症发生率低,安全且有效.
Abstract
Objective To evaluate the safety and efficacy of modified ultrasound-guided needle-like visible nephroscope(Needle perc)holmium laser lithotripsy in the treatment of 1-2 cm calyceal calculi,and provide a reference for the selection of clinical treatment methods.Methods The clinical data of 60 patients with single intrarenal calyceal calculi(the largest diameter 1～2 cm)treated in our hospital during Jan.2022 and May 2023 were retrospectively analyzed.The patients were divided into ureteroscopic holmium laser lithotripsy group(flexible ureteroscope group)and Needle perc group,with 30 patients in either group.The clinical data of the two groups were compared.Results Compared with the flexible ureteroscope group,the Needle perc group had shorter overall hospitalization time[(3.00±1.25)d vs.(4.00±1.25)d],shorter operation time[(44.63±5.42)min vs.(48.50±7.24)min],lower hospitalization expenses[(15 518±441)yuan vs.(16 872±903)yuan],higher stone-clearance rate[93.3％(28/30)vs.50.7％(15/30),P＜0.001],less increase of procalcitonin after operation[(0.02±0.01)vs.(0.12±0.18),P=0.007],and lower incidence of complications[3.3％(1/30)vs.26.7％(8/30),P=0.030].Conclusion The modified ultrasound-guided Needle perc holmium laser lithotripsy is safe and effective in the treatment of 1-2 cm lower calyceal calculi,with high stone removal rate and low complication rate.
关键词
肾结石/针状可视肾镜/钬激光碎石术/输尿管软镜/结石清除率Key words
calyceal calculi/needle-like visible nephroscope/holmium laser lithotripsy/flexible ureteroscope/stone free rate引用本文复制引用
基金项目
河南省医学科技攻关计划(LHGJ20210717)
出版年
2024
NETL
NSTL
万方数据