可视化超微通道经皮肾镜碎石术对1.5~2.5 cm肾下盏结石患者的疗效及安全性分析

江永浩; 雷星辉; 曾铁兵; 马强

doi:10.16016/j.1000-5404.202001173

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可视化超微通道经皮肾镜碎石术对1.5~2.5 cm肾下盏结石患者的疗效及安全性分析

基础医学 | 更新时间：2026-01-09

- 可视化超微通道经皮肾镜碎石术对1.5~2.5 cm肾下盏结石患者的疗效及安全性分析
- Visualized ultra-mini percutaneous nephrolithotripsy and ureteroscopic soft lithotripsy in remove of 1.5~2.5 cm calculi from the lower calyces: an analysis on efficacy and safety
- 第三军医大学学报 2020年42卷第11期页码：1146-1149
- 作者机构：
- 作者简介：
- 基金信息：
  
  四川省医学科研青年创新课题(Q15049)
- DOI：10.16016/j.1000-5404.202001173
  中图分类号：
- 收稿：2020-01-19，
  
  纸质出版：2020-06-15
- 稿件说明：
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江永浩, 雷星辉, 曾铁兵, 等. 可视化超微通道经皮肾镜碎石术对1.5~2.5 cm肾下盏结石患者的疗效及安全性分析[J]. 第三军医大学学报, 2020,42(11):1146-1149.

Yonghao JIANG, Xinghui LEI, Tiebing ZENG, et al. Visualized ultra-mini percutaneous nephrolithotripsy and ureteroscopic soft lithotripsy in remove of 1.5~2.5 cm calculi from the lower calyces: an analysis on efficacy and safety[J]. Journal of Third Military Medical University, 2020, 42(11): 1146-1149.
江永浩, 雷星辉, 曾铁兵, 等. 可视化超微通道经皮肾镜碎石术对1.5~2.5 cm肾下盏结石患者的疗效及安全性分析[J]. 第三军医大学学报, 2020,42(11):1146-1149. DOI： 10.16016/j.1000-5404.202001173.

Yonghao JIANG, Xinghui LEI, Tiebing ZENG, et al. Visualized ultra-mini percutaneous nephrolithotripsy and ureteroscopic soft lithotripsy in remove of 1.5~2.5 cm calculi from the lower calyces: an analysis on efficacy and safety[J]. Journal of Third Military Medical University, 2020, 42(11): 1146-1149. DOI： 10.16016/j.1000-5404.202001173.

摘要

Abstract

Objective

To investigate the safety and efficacy of visual ultra-mini percutaneous nephrolithotripsy(VUMP) and ureteroscopic soft lithotripsy(FURS) in remove of 1.5~2.5 cm calculi from the lower calyces.

Methods

Clinical data of 116 patients undergoing VUMP and FURS in our hospital from February 2016 to June 2019 were collected and retrospectively analyzed. The patients were divided into VUMP group(

=62) and FURS group(

=54). The general clinical data

operation time

length of hospital stay

short- and long-term(30 d after operation) stone clearance rates

post-operative complications

hemoglobin change in 2 h after operation

and post-operative procalcitonin and C-reactive protein levels and leukocyte count were recorded and analyzed.

Results

The VUMP group had significantly shorter operation

time(37.25± 8.39

49.52±10.57 min

0.05) and lower postoperative white blood cell count [(11.05±2.43)×10

(13.57±2.71)×10

]

0.05)

but more obvious postoperative hemoglobin reduction(8.25±5.04

4.05±3.07

0.05) and longer hospital stay(5.16±1.23

4.05±3.07 d

0.05) when compared with the FURS group. In terms of stone clearance rate

both the short-(90.32%

74.07%

0.05) and long-term(95.16%

85.18%

0.05) rates were statistically higher in the VUMP group than the FURS group. No differences were seen in the changes of procalcitonin and C-reactive protein in both groups(

0.05). The overall complications were significantly lower in the VUMP group than the FURS group(16.12%

25.92%

0.05)

especially in the incidence rates of systemic inflammatory response syndrome

urinary sepsis

and perirenal hematoma.

Conclusion

VUMP and FURS are safe and effective in the treatment of 1.5~2.5 cm lower calyx calculi

but VUMP has the advantages of higher stone clearance rate

lower operation time and complication rate.

关键词

Keywords

references

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