肾盏憩室结石腔内手术治疗单中心分析并文献复习
Analysis and literature review of intracavitary operation for calyceal diverticulum calculi
罗勇 1陈铭 2刘光阳 3苏华建 2唐嘉辉 2余庆锋 2雷鸣2
作者信息
- 1. 广州医科大学附属第一医院泌尿外科,广东省泌尿外科重点实验室,广州市泌尿外科研究所,广东广州 510145;佛山市顺德区第三人民医院(佛山市顺德区北滘医院)泌尿外科,广东佛山 528000
- 2. 广州医科大学附属第一医院泌尿外科,广东省泌尿外科重点实验室,广州市泌尿外科研究所,广东广州 510145
- 3. 广州医科大学附属第五医院泌尿外科,广东广州 510799
- 折叠
摘要
目的 分析不同腔内手术治疗肾盏憩室患者的疗效,为提高此类疾病的诊治水平提供参考.方法 回顾性分析广州医科大学附属第一医院2025年1月—2021年12月收治的21例肾盏憩室结石患者的临床资料.依据手术方法将患者分为经尿道输尿管软镜手术组(RIRS组,n=14)和经皮肾镜手术组(PCNL组,n=7),并进行组间数据分析.结果 RIRS组和PCNL组结石最大径分别为(11.56±4.79)mm和(13.06±6.27)mm,差异无统计学意义(P=0.609).RIRS组与PCNL组在憩室顶肾实质厚度[(10.08±4.81)mm vs.(5.24±2.23)mm,P=0.005]、手术时间[(58.57± 19.23)min vs.(88.29±25.28)min,P=0.007]、住院时间[3(1,5)dus.11(5,12)d,P=0.023]方面比较差异有统计学意义.而两组术后结石清除率、血红蛋白下降值、术后并发症情况比较差异无统计学意义(P＞0.05).结论 对于肾盏憩室结石,RIRS和PCNL都是可供选择的手术方式,RIRS的手术时间和住院时间更短,PCNL可在RIRS手术失败时作为替代手术方式.
Abstract
Objective To analyze the efficacy of different intracavitary operations for calyceal diverticulum calculi,so as to provide reference for the diagnosis and treatment of such disease.Methods A retrospective analysis of the data of 21 patients with calyceal diverticulum calculi was conducted during Jan.2015 and Dec.2021.The patients were divided into the retrograde intrarenal surgery(RIRS,n=14)group and percutaneous nephrolithotomy(PCNL,n=7)group.The perioperative data were compared.Results There was no significant difference in stone load between the RIRS group and PCNL group[(11.56±4.79)mm vs.(13.06±6.27)mm,P=0.609].There were significant differences in the thickness of renal parenchyma at the top of the diverticulum[(10.08±4.81)mm vs.(5.24±2.23)mm,P=0.005],operation time[(58.57±19.23)min vs.(88.29±25.28)min,P=0.007],hospitalization time[3(1,5)vs.12(5,7),P=0.023]days.After operation,there were no significant differences in stone-clearance rate,decrease of hemoglobin,and postoperative complications between the two groups(P＞0.05).Conclusion Both RIRS and PCNL are viable options for treating renal calyceal diverticulum calculi.RIRS has advantages of shorter operation time and hospital stay.PCNL can be an alternative treatment when RIRS is unsuccessful.
关键词
肾盏憩室结石/肾盏憩室/逆行输尿管软镜手术/经皮肾镜碎石取石术/体外冲击波碎石术Key words
calyceal diverticulum calculi/calyceal diverticulum/retrograde intrarenal surgery/percutaneous nephrolithotomy/extracorporeal shock wave lithotripsy引用本文复制引用
基金项目
广州市科技局市校联合资助项目(202201020477)
出版年
2024
NETL
NSTL
万方数据