UNASSIGNED:本研究的目的是证明逆行肾内手术(RIRS)和微型经皮肾镜取石术(M-PCNL)治疗1-2厘米肾结石的结果。考虑到手术时间的因素,住院时间,并发症发生率,和辅助程序率。
UNASSIGNED:这是一个单中心,在2018年4月至2020年3月期间诊断为1-2cm肾结石的患者的前瞻性研究。所有患者均获得知情书面同意。共有60名患者被纳入研究。患者分为两组-I组和II组;I组:30例接受RIRS的患者,II组:30例接受Mini-PCNL-Mini经皮肾镜取石术的患者。收集数据以比较手术数据,术后并发症,住院时间,无石率,以及与RIRS和Minipcnl治疗1-2cm肾结石相关的辅助手术率。
UNASSIGNED:所有在2018年4月至2020年3月期间出现1-2厘米肾结石的患者年龄>15岁。
UNASSIGNED:大于2厘米且小于1厘米的石头。骨盆管系统中超过3颗结石孕妇。
未经评估:MiniPerc和RIRS组的平均年龄为30.40±14.36岁和39.20±12.45岁,分别,没有统计学意义。在60个肾脏单位中,MiniPerc组66.7%为男性,33.3%为女性。在RIRS组中,73.3%为男性,26.7%为女性。没有统计学意义。在MiniPerc组中,右侧手术占53.3%,左侧手术占46.7%,在RIRS组中,33.3%在右侧手术,66.7%在左侧手术,没有统计学意义。MiniPerc组平均结石大小为1.4±0.37cm,RIRS组平均结石大小为1.3±0.27cm,没有统计学意义。在60个肾脏单位中,MiniPerc和RIRS组分别为3.3%和6.7%,单独患有糖尿病。MiniPerc和RIRS组分别有3.3%和16.7%单独患有高血压。RIRS组3.3%有肺结核,MiniPerc和RIRS组中分别有6.7%和13.3%患有高血压和糖尿病,MiniPerc组6.7%患有糖尿病合并高血压合并冠状动脉疾病。MiniPerc组平均手术时间为44.07±9.05min。RIRS组平均手术时间为72.23±11.01min。在操作时间方面有统计学意义。两组都有并发症,其中MiniPerc和RIRS组术后发热分别为6.7%和16.7%,MiniPerc和RIRS组术后血尿分别为3.3%和6.7%,无统计学意义。MiniPerc组术后24h平均疼痛为3.63±1.35,RIRS组为1.43±0.72;MiniPerc组术后48h平均疼痛为1.80±0.96,而RIRS组为1.03±0.18,在两组之间具有重要意义。MiniPerc组血红蛋白平均下降0.88±0.44g,而RIRS组为0.99±0.65,两组之间无统计学意义。MiniPerc组的平均结石清除率为99%±5.47%,而RIRS组为96.33%±10.98%,没有统计学意义。与两组相比,MiniPerc组为3.3%,RIRS组为13.3%,没有统计学意义。
未经评估:这项研究的结果表明,在这两种技术之间,接受RIRS手术的患者疼痛明显小于MiniPerc,尽管RIRS手术需要更长的手术时间。我们发现这两种技术都是安全的,关于并发症(术中和术后),两组之间的住院时间没有显着差异。
UNASSIGNED: The aim of this
study is to demonstrate the outcomes of retrograde intrarenal surgery (RIRS) and Mini percutaneous nephrolithotomy (M-PCNL) in the management of 1-2 cm renal stones, with factors considered being operative time, duration of hospital stay, complication rate, and auxiliary procedure rate.
UNASSIGNED: This is a single-center, prospective
study on patients diagnosed with 1-2 cm renal calculi between April 2018 and March 2020. Informed written consent was obtained from all the patients. A total of 60 patients were included in the
study. Patients were divided into two groups - Group I and Group II; Group I: 30 patients who underwent RIRS and Group II: 30 patients who underwent Mini-PCNL-Mini percutaneous nephrolithotomy. Data were collected to compare the operative data, postoperative complications, duration of hospital stay, stone-free rate, and auxiliary procedure rate associated with RIRS and Mini pcnl for the treatment of 1-2 cm renal calculi.
UNASSIGNED: All patients who presented with 1-2 cm renal calculi between April 2018 and March 2020Age >15 years.
UNASSIGNED: Stones larger than 2 cm and smaller than 1 cm. More than 3 stones in the pelvicalyceal systemPregnant women.
UNASSIGNED: The mean age in the Mini Perc and RIRS groups was 30.40 ± 14.36 years and 39.20 ± 12.45 years, respectively, with no statistical significance. Of the 60 renal units, 66.7% were male and 33.3% were female in the Mini Perc group. In the RIRS group, 73.3% were male and 26.7% were female. There was no statistical significance. In the Mini Perc group, 53.3% were operated on the right side and 46.7% were operated on the left side, and in the RIRS group, 33.3% were operated on the right side and 66.7% were operated on the left side, with no statistical significance. The mean stone size in the Mini Perc group was 1.4 ± 0.37 cm and the mean stone size in the RIRS group was 1.3 ± 0.27 cm, with no statistical significance. Of the 60 renal units, 3.3% and 6.7% in Mini Perc and RIRS groups had diabetes alone, and 3.3% and 16.7% in Mini Perc and RIRS groups had hypertension alone. 3.3% in RIRS group had tuberculosis, 6.7% and 13.3% in Mini Perc and RIRS groups had both hypertension and diabetes, and 6.7% in Mini Perc group had diabetes with hypertension with coronary artery disease. The mean operating time in the Mini Perc group was 44.07 ± 9.05 min. The mean operating time in the RIRS group was 72.23 ± 11.01 min. There is statistical significance noted in terms of operating time. There were complications noted in both the groups, of which 6.7% and 16.7% in Mini Perc and RIRS groups had postoperative fever, and 3.3% and 6.7% in Mini Perc and RIRS groups had postoperative hematuria with no statistical significance noted. The mean postoperative pain in the first 24 h was 3.63 ± 1.35 in Mini Perc group, whereas it was 1.43 ± 0.72 in RIRS group; the mean postoperative pain at 48 h was 1.80 ± 0.96 in Mini Perc group, whereas it was 1.03 ± 0.18 in RIRS group, with significance between both the groups. The mean hemoglobin drop in Mini Perc group was 0.88 ± 0.44 g in Mini Perc group, whereas it was 0.99 ± 0.65 in RIRS group, with no statistical significance between both the groups. The mean stone clearance rate for Mini Perc group is 99% ± 5.47%, whereas it was 96.33% ± 10.98% in RIRS group, with no statistical significance. In comparison with both the groups, the retreatment rate was 3.3% in Mini Perc group and 13.3% in RIRS group, with no statistical significance.
UNASSIGNED: The result of this
study revealed that between both the techniques, patients undergoing RIRS procedure had significantly less pain than Mini Perc, though RIRS procedure took longer operating times. We found that both the techniques were safe, in regard to complications (both intraoperative and postoperative), and there was no significant difference in hospital stay between the groups.