[1]黄瑞旭,覃智标,毕革文,等.标准通道经皮肾弹道超声碎石取石与微通道经皮肾气压弹道碎石取石术治疗肾鹿角形结石的疗效比较[J].中国微创外科杂志,2013,13(6):509-512.
　Huang Ruixu,Qin Zhibiao,Bi Gewen,et al.Comparison of Standard Channel Percutaneous Nephrolithotomy with Ultrasonic and Pneumatic Lithotripsy and Microchannel Percutaneous Nephrolithotomy with Pneumatic Lithotripsy in the Treatment of Staghorn Calculi[J].Chinese Journal of Minimally Invasive Surgery,2013,13(6):509-512.
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标准通道经皮肾弹道超声碎石取石与微通道经皮肾气压弹道碎石取石术治疗肾鹿角形结石的疗效比较()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
13
期数:
2013年6期
页码:
509-512
栏目:
出版日期:
2013-06-20

文章信息/Info

Title:
Comparison of Standard Channel Percutaneous Nephrolithotomy with Ultrasonic and Pneumatic Lithotripsy and Microchannel Percutaneous Nephrolithotomy with Pneumatic Lithotripsy in the Treatment of Staghorn Calculi
作者:
黄瑞旭; 覃智标; 毕革文; 李峰; 伍松合; 郑仿; 黄新; 赵书晓
广西中医药大学第一附属医院泌尿外科，南宁530023
Author(s):
Huang Ruixu;  Qin Zhibiao;  Bi Gewen;  et al.
Department of Urology, The First Affiliated Hospital of Guangxi Traditional Chinese Medical University, Nanning 530023, China
关键词:
经皮肾造口术; 肾结石; 微通道; 弹道超声碎石取石术; 鹿角形结石; 气压弹道碎石取石术
Keywords:
Percutaneous nephrostomy; Kidney calculi; Microchannel; Ultrasonic and pneumatic lithotripsy; Staghorn calculi; Pneumatic lithotripsy
分类号:
R692.4
文献标志码:
A
摘要:
目的比较标准通道弹道超声碎石取石与微通道经皮肾气压弹道碎石取石术治疗鹿角形肾结石的疗效。方法2004年6月～2010年6月，对129例肾鹿角形结石分别采用标准通道弹道超声碎石取石与微通道经皮肾气压弹道碎石取石术治疗，标准通道组61例,微通道组68例, 比较2组手术时间、一期结石清除率和手术并发症等指标。结果标准通道组手术时间(92±22)min，显著少于微通道组(139±23)min（t=11.828，P=0.000)；标准通道组术后发热率为8.2%,显著低于微通道组26.5%（χ2=11.828，P=0.007)；标准通道组一期结石取净率52.5%(32/61)，与微通道组51.5%(35/68)比较无统计学差异(χ2=0.013，P=0.911)。结论与微通道相比，标准通道治疗肾鹿角形结石具有手术时间短和术后发热率低等优点，有条件者可作为首选的治疗方法。
Abstract:
ObjectiveTo investigate the effect of ultrasonic and pneumatic lithotripsy through standard channel on staghorn calculi, as compared to pneumatic lithotripsy through microchannel. MethodsFrom June 2004 to June 2010, a total of 129 patients suffering from staghorn calculi were treated in our hospital. Sixty one patients received standard channel procedure(standard channel group), while the other sixty eight patients received microchannel procedure(microchannel group). Clinical data including operation time, firststage stone clearance rate, and complications were compared. ResultsThe operating time in standard channel group was (92±22) min, significantly less than that of microchannel group (139±23)min (t=11.828, P=0.000); the postoperative fever rate in standard channel group was 8.2%, significantly less than that of microchannel group (26.5%, χ2=11828，P=0.007); the firststage stone clearance rate in standard channel group and microchannel group was 52.5%(32/61) and 51.5%(35/68) respectively, and no statistical difference was observed between the two groups (χ2=0.013，P=0.911). ConclusionsCompared with microchannel, standard channel procedure for staghorn calculi has shorter operation time, higher lithotripsy efficiency, and lower postoperative fever rate. Therefore, standard channel procedure is a priority for staghorn calculi.

参考文献/References:

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[3]郭剑明,王国民,徐志兵,等.经皮肾镜气压弹道联合超声碎石术治疗复杂性肾结石150例报告.中国微创外科杂志,2009,9（10）:908-910.
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更新日期/Last Update: 2014-01-08