超小型经皮肾穿刺取石术和逆行肾内手术治疗下肾盏2-3cm结石的疗效

IF 0.1 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Investigacion clinica Pub Date : 2022-03-23 DOI:10.54817/ic.v63n1a06
Ya-Wei Guan, Xing Ai, Zhi-Hui Li, Guohui Zhang, Zhuo-Min Jia, Jingfei Teng
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引用次数: 0

摘要

我们的目的是比较超微型经皮肾镜取石术(UMP)和逆行肾内手术(RIRS)治疗下肾盏结石的疗效和安全性。136例单发下盏结石(直径2-3 cm)患者被分为UMP组和RIRS组。RIRS组平均手术时间明显长于UMP组,且术中出血量明显少于UMP组。此外,RIRS组术后Hb下降值明显低于UMP组,术后住院时间明显缩短,总住院费用明显低于UMP组。此外,UMP组第一期碎石成功率明显高于RIRS组。术后6小时,RIRS组VAS评分明显低于UMP组,BCS评分明显高于UMP组。术后24 h,两组患者血清CRP、TNF-α、IL-6水平均显著升高,且RIRS组明显低于UMP组。术后3 d, UMP组血清CRP、TNF-α、IL-6水平明显低于RIRS组。RIRS和UMP治疗2-3 cm下盏结石安全有效。一期UMP的特点是结石清除率(SFR)高、手术时间短、术后感染风险低,而RIRS的出血量少、总费用低。
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Efficacy of ultra-mini percutaneous nephrolithotomy and retrograde intrarenal surgery in the treatment of 2-3 cm lower calyceal stones
We aimed to compare the efficacy and safety of ultra-mini percutaneous nephrolithotomy (UMP) and retrograde intrarenal surgery (RIRS) for the management of lower calyceal stones. A group of 136 patients with a single lower calyceal stone (2-3 cm in diameter) was divided into the UMP or RIRS groups. The average operation time in the RIRS group was significantly longer than that in the UMP group, and the intraoperative blood loss in the former was markedly less than that in the latter. Besides, in the RIRS group, the decreased value of postoperative Hb was obviously lower, the postoperative hospital stay was evidently shorter, and the total hospitalization expenses were markedly less than those in UMP group were. Moreover, the success rate of the first-stage lithotripsy in the UMP group was notably higher than that in RIRS group. The RIRS group had an obviously lower VAS score but a markedly higher BCS score than the UMP group six hours after surgery. At 24 h after operation, the levels of serum CRP, TNF-α and IL-6 in patients in both groups were remarkably increased, and they were evidently lower in the RIRS group than those in the UMP group were. Three days after surgery, the levels of serum CRP, TNF-α and IL-6 were notably lower in the UMP group than those in RIRS group were. RIRS and UMP are safe and effective in the treatment of 2-3 cm lower calyceal stones. The first-stage UMP is characterized by a high stone-free rate (SFR), short operation time and low postoperative infection risk, while RIRS is associated with less blood loss and low total expenses.
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来源期刊
Investigacion clinica
Investigacion clinica MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
0.20
自引率
50.00%
发文量
2
审稿时长
>12 weeks
期刊介绍: Estudios humanos, animales y de laboratorio relacionados con la investigación clínica y asuntos conexos.
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