| 摘要: |
| ［摘要］ 目的 探讨经皮肾镜双导管碎石清石术与钬激光碎石术治疗复杂性肾结石的安全性及有效性。方法 回顾性分析2011-03～2012-10该院采用经皮肾镜碎石取石术治疗61例复杂性肾结石患者的资料。按采用的碎石器械不同分为Cyberwand双导管碎石清石组（Cyberwand组，31例）和钬激光碎石取石组（钬激光组，30例）。结果 所有患者在B超引导下均成功建立经皮肾穿刺通道，并行一期碎石清石或碎石取石术。Cyberwand组：手术时间（78±25）min,出血量（67±20）ml,用水量（19000±3000）ml，结石取尽率87.1%，并发症发生率9.7%；钬激光组：手术时间（110±32）min,出血量（95±28）ml,用水量（24000±4000）ml，结石取尽率90.0%，并发症发生率10.0%。Cyberwand组和钬激光组在手术时间、出血量、用水量比较差异有统计学意义（P<0.05）;在结石取净率、并发症发生率比较差异无统计学意义（P>0.05）。结论 经皮肾镜双导管碎石清石术与钬激光碎石术治疗复杂性肾结石均安全、有效，但美国Cyberwand双导管碎石清石系统可以减少菌血症或败血症的发生，具有明显的优势，值得临床推广应用。 |
| 关键词: 经皮肾镜取石术 Cyberwand双导管碎石 钬激光碎石 复杂性肾结石 |
| DOI：10.3969/j.issn.1674-3806.2014.04.16 |
| 分类号:R 69 |
| 基金项目: |
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| Comparison of percutaneous nephrolithotomy with Cyberwand dual probe lithotriptor and holmium laser lithotripsy for treatment of complicated renal calculi |
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YANG Jian-xin, WU Xi-qing, BAI Gang, et al.
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Department of Urology, the Third Staff-Worker Hospital of Baotou Iron and Steel Corporation, Inner Mongolia 014010, China
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| Abstract: |
| ［Abstract］ Objective To investigate the safety and efficiency of percutaneous nephrolithotripsy with Cyberwand dual probe lithotriptor and holmium laser lithotomy for treatment of complicated renal calculi.Methods The clinical data of 61 patients of complicated renal calculi in our hospital from Mar 2011 to Oct 2012 were retrospectively analyzed. Patients were randomly divided into 2 groups: Cyberwand dual probe lithotriptor group(n=31) and holmium laser lithotripsy group(n=30).Results The pereutaneous renal access was successfully established in all patients under ultrasound guidance. For Cyberwand dual probe lithotriptor group, the operation duration was（78±25）min, the blood loss was（67±20）ml, the water consumption was（19000±3000）ml, the calculus clearance rate was 87.1% and the complication rate was 9.7%. For holmium laser lithotripsy group, the operation duration was（110±32）min, the blood loss was（95±28）ml, the water consumption was（24000±4000）ml, the calculus clearance rate was 90.0% and the complication rate was 10.0%. There was a significant difference between two groups in the duration of operation, the blood loss and the water consumption(P<0.05), but no significant difference in the calculus clearance rate and the complication rate(P>0.05).Conclusion Both percutaneous nephrolithotomy with Cyberwand dual probe lithotriptor and holmium laser lithotripsy for treatment of complicated renal calculi were safety and efficiency.The percutaneous nephrolithotomy with Cyberwand dual probe lithotripter has the advantages of high reliability and rapid recovery, which reduce the risk of developing bacteremia or septicemia. |
| Key words: Percutaneous nephrolithotomy Cyberwand dual probe lithotripter Holmium laser lithotripsy Complicated renal calculi |
