UNASSIGNED:目的比较输尿管软镜和经皮肾镜取石术治疗1-2厘米大小的多发性肾结石的结果。
UNASSIGNED:回顾性收集2016年1月至2021年3月在山东大学齐鲁医院行输尿管软镜碎石术和经皮肾镜取石术的1~2CM范围多发性肾结石患者的临床资料,并采用倾向评分匹配法进行匹配。然后进行石头数量的分组。根据结石数量将患者分为A组和B组。对基线数据无统计学差异的患者进行匹配,以比较两种方法的安全性和有效性。
UNASSIGNED:共收集210例患者的临床资料,患者的基线数据没有可比性,在倾向评分匹配后,最终将142例患者纳入研究.两组患者基线资料无统计学差异。术后住院天数(3.00,2.00vs.7.00,3.00,P<0.001),操作时间(90.00,50.00vs.110.00,53.00,P=0.018),并发症(6,6.8%vs.14,25.9%,输尿管软镜组患者的P=0.001),P=0.001)明显低于经皮肾镜取石术组。两组结石清除率无显著差异(76,86.4%vs.42,77.8%,P=0.185)。当结石数量不超过3时,手术时间(85.00,49.00vs.110.00,53.00,P=0.005)和并发症(2,4.2%vs.11,29.7%,P=0.001)的f-URS显著低于mPCNL,但是当结石数量超过3时,两次手术之间没有显着差异。
未经批准:对于1-2厘米以内的多发性肾结石,当结石数不超过3时,输尿管软镜可以达到与经皮肾镜取石术相同的结石清除率,虽然术后天数较短,手术时间和并发症少。当结石数量大于3时,两种操作之间没有显着差异。
UNASSIGNED: To compare the outcomes of flexible ureteroscopy and mini-percutaneous nephrolithotomy in the treatment for multiple nephrolithiasis in 1-2 cm size.
UNASSIGNED: The clinical data of patients with multiple renal calculi in the range of 1-2 CM who underwent flexible ureteroscopy lithotripsy and percutaneous nephrolithotomy in Qilu Hospital of Shandong University from January 2016 to March 2021 were retrospectively collected and matched using propensity score matching. Then a subgrouping of the number of stones was performed. Patients were divided into Group A and Group B according to their stone numbers. Patients with no statistically significant differences in baseline data were matched to compare the safety and efficacy of the two procedures.
UNASSIGNED: A total of 210 patients with clinical data were collected, and the patients\' baseline data were not comparable, and 142 patients were finally included in the study after propensity score matching. There was no statistical difference in baseline data between the two groups of patients. The postoperative hospital days (3.00, 2.00 vs. 7.00, 3.00, P < 0.001), operation time (90.00, 50.00 vs. 110.00, 53.00, P = 0.018), complications (6, 6.8% vs. 14, 25.9%, P = 0.001) of patients in flexible ureteroscopy group %, P = 0.001) was significantly lower than that in the percutaneous nephrolithotomy group. There was no significant difference in stone clearance rate between the two groups (76, 86.4% vs. 42, 77.8%, P = 0.185). When the number of stones was no more than 3, the operation time (85.00, 49.00 vs. 110.00, 53.00, P = 0.005) and complications (2, 4.2% vs. 11, 29.7%, P = 0.001) of f-URS were significantly less than those of mPCNL, but when the number of stones was more than 3, there was no significant difference between the two operations.
UNASSIGNED: For multiple nephrolithiasis within 1-2 CM, when the number of stones does not exceed 3, flexible ureteroscopy can achieve the same stone clearance rate as percutaneous nephrolithotomy, while having shorter post-operation days, operative time and fewer complications. When the number of stones is more than 3, there are no significant difference between two operations.