电子输尿管软镜碎石取石术与经皮肾镜碎石取石术治疗肾盂大型结石患者的临床效果和安全性

doi:10.3969/j.issn.1671-7171.2026.04.006

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摘要 【目的】探讨电子输尿管软镜碎石取石术与经皮肾镜碎石取石术治疗肾盂大型结石患者的临床效果和安全性。【方法】选取2022年3月至2024年3月本院收治的102例肾盂大型结石(长径＞3.0 cm)患者,采用随机数字表法将患者分为对照组和观察组,每组51例。对照组患者行经皮肾镜碎石取石术治疗,观察组患者行电子输尿管软镜碎石取石术治疗,比较两组患者围术期相关指标(术中出血量、手术时间、平均住院时间)、不良反应发生率、结石清除率及术中转开放手术所占比例。【结果】观察组手术时间长于对照组,术中出血量少于对照组,平均住院时间短于对照组,差异有统计学意义(P<0.05)。两组结石清除率及术中转开放手术所占比例比较,差异均无统计学意义(P>0.05)。观察组术后并发症发生率为5.88%(3/51),低于对照组的23.53%(12/51),差异有统计学意义(P<0.05)。【结论】电子输尿管软镜碎石取石术和经皮肾镜碎石取石术均是治疗肾盂大型结石(长径>3.0 cm)患者有效的手术方式,但电子输尿管软镜碎石取石术在术中出血量、住院时间及不良反应发生率方面有明显优势。

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关键词 ：肾结石, 肾造口术, 经皮, 输尿管镜检查, 腹腔镜检查, 治疗结果

Abstract：【Objective】 To explore the clinical efficacy and safety of flexible ureteroscopic lithotripsy with electronic ureteroscope (f-URL) versus percutaneous nephrolithotomy (PCNL) in the treatment of large renal pelvic stones. 【Methods】 A total of 102 patients with large renal pelvic stones (long diameter > 3.0 cm) admitted to our hospital from March 2022 to March 2024 were selected. They were divided into a control group and an observation group using a random number table, with 51 cases in each group. The control group was treated with PCNL, while the observation group was treated with f-URL. Perioperative indicators (intraoperative blood loss, operation time, average length of hospital stay), incidence of adverse reactions, stone clearance rate, and proportion of conversion to open surgery during operation were compared between the two groups. 【Results】 The operation time of the observation group was longer than that of the control group, while the intraoperative blood loss was less and the average length of hospital stay was shorter than those of the control group, with statistically significant differences (P<0.05). There were no statistically significant differences in stone clearance rate or the proportion of conversion to open surgery between the two groups (P>0.05). The incidence of postoperative complications in the observation group was 5.88% (3/51), which was lower than 23.53% (12/51) in the control group, with a statistically significant difference (P<0.05). 【Conclusion】 Both f-URL and PCNL are effective surgical methods for treating large renal pelvic stones (long diameter > 3.0 cm). Compared with PCNL, f-URL has obvious advantages in terms of intraoperative blood loss, length of hospital stay, and incidence of adverse reactions.

Key words： Kidney Calculi Nephrostomy, Percutaneous Ureteroscopy Laparoscopy Treatment Outcome

收稿日期: 2025-05-16

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R693

引用本文:

魏蓓蕾. 电子输尿管软镜碎石取石术与经皮肾镜碎石取石术治疗肾盂大型结石患者的临床效果和安全性[J]. 医学临床研究, 2026, 43(4): 548-550.
WEI Beilei. Clinical Efficacy and Safety of Flexible Ureteroscopic Lithotripsy with Electronic Ureteroscope Versus Percutaneous Nephrolithotomy in the Treatment of Large Renal Pelvic Stones. JOURNAL OF CLINICAL RESEARCH, 2026, 43(4): 548-550.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2026.04.006 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2026/V43/I4/548

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