PCNL FURL术单用及螺旋状套石篮辅助 FURL治疗单侧直径大于1.0cm输尿管上段结石的效果对比

doi:10.3969/j.issn.1006-6233.2020.09.036

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Abstract Objective: To explore the effect of PCNL, FURL and spiral basket manipulation assisted FURL in the treatment of upper ureteral calculi with unilateral diameter > 1.0cm.Methods: From January 2017 to September 2019, 80 cases of upper ureteral calculi with unilateral diameter >1.0cm were prospectively selected for study and categorized into three groups with the random number table method: group A (26 cases) was treated with PCNL; group B (27 cases) was treated with FURL; and group C (27 cases) was treated with spiral basket manipulation assisted FURL.The operating time, intraoperative hemorrhage, length of hospital stay, success rate of lithotripsy, calculus removal rate, calculus migration rate, postoperative fever and hematuria, and incidence of lumbar discomfort were compared among the three groups.Results: There were significant differences in operation time, intraoperative hemorrhage and hospitalization time among the three groups (P<0.05); the operation time, intraoperative hemorrhage and hospitalization time in group B were lower than those in group A, the hospitalization time in group C was lower than that in group A, and the operation time was longer than that in group B (P<0.05).There were significant differences in the success rate of lithotripsy and stone clearance rate among the three groups (P<0.05); the success rate of lithotripsy and stone clearance rate of group B were lower than those of group A and group C respectively (P<0.05).The incidence of complication hematuria in group A was significantly higher than that in group B and group C (P<0.05).Conclusion: PCNL and spiral stone basket assisted furl lithotripsy has a high success rate and stone clearance rate.Furl has a shorter operation time, less bleeding during operation and a shorter hospital stay.However, the incidence of complications of PCNL is higher.That is to say, spiral stone basket assisted furl is a treatment method that takes into account the stone clearance rate, treatment effect and safety, and is worthy of clinical promotion.

Key words： Percutaneous nephrolithotomy Ureteroscopic holmium laser lithotripsy Spiral basket manipulation Unilateral Upper ureteral calculi

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2020.09.036 OR http://www.hbyxzzs.cn/EN/Y2020/V26/I9/1561

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