Comparison of Retrograde Intrarenal Surgery and Standard Percutaneous Nephrolithotomy in Treatment of Ureteropelvic Junction Stones with High Hydronephrosis
SHI Feng, SUN Wen-gong, LIU Zeng-zhen,et al
No.988th Hospital of the Joint Logistic Support Force of the People's Liberation Army,Zhengzhou Henan 450007
Abstract：【Objective】 To compare the efficacy and safety of standard percutaneous nephrolithotomy (PCNL) and retrograde intrarenal surgery (RIRS) in the treatment of ureteropelvic junction stonrs/calculi with high hydronephrosis. 【Methods】 A total of 100 patients with renal pelvic and ureteral junction stones with high hydronephrosis who were treated in our hospital from December 2018 to December 2021 were selected in the study. Patients were divided into the observation group and the control group with 50 cases each, according to the random drawing method. The observation group received PCNL, while the control group received RIRS. The operation time, stone removal rate, hospital stay, postoperative hemoglobin loss rate, anesthesia and analgesia utilization rate, postoperative uremia incidence, complication rate and secondary operation rate were compared between the two groups. 【Results】 The operation time in the observation group was shorter than that in the control group, while the hospitalization time, the postoperative hemoglobin loss were higher than those in the control group (P<0.05). The incidence of uremia in the observation group (2.00%) and the rate of secondary operation were significantly lower than those in the control group(P<0.05).【Conclusion】 RIRS and PCNL are safe and effective methods for the treatment of stones at the junction of the renal pelvis and ureter with high hydronephrosis. PCNL has more advantages in reducing the incidence of postoperative uremia and the rate of secondary operations.
石峰, 孙文功, 刘增振, 孟庆泽. RIRS与PCNL治疗肾盂输尿管交界处结石伴高度肾积水的安全性比较[J]. 医学临床研究, 2023, 40(1): 68-70.
SHI Feng, SUN Wen-gong, LIU Zeng-zhen,et al. Comparison of Retrograde Intrarenal Surgery and Standard Percutaneous Nephrolithotomy in Treatment of Ureteropelvic Junction Stones with High Hydronephrosis. JOURNAL OF CLINICAL RESEARCH, 2023, 40(1): 68-70.
[1] 冉茂彪,刘川.上尿路结石微创手术治疗研究进展[J].检验医学与临床,2020,17(2):128-131. [2] 黄恒海,黄志红,李仙,等.泌尿系统结石微创取石术并发症的临床研究[J].国际泌尿系统杂志,2019,39(2):256-258. [3] 许婷,刘任平,黄宇.经皮肾穿刺造瘘术与输尿管镜碎石术对输尿管结石致急性梗阻性肾损伤的疗效及安全性分析[J].实用医院临床杂志,2019,16(2):222-225. [4] 刘钰.输尿管上段结石并发轻度肾积水治疗对比分析[J].中国性科学,2019,25(10):9-12. [5] 刘佳,张军,赵纪宇,等.肾积水对国产分体式输尿管软镜治疗输尿管上段结石的影响[J].中国医刊,2019,54(10):1119-1121. [6] KARAKOYUNLU A N,CAKICI M C,SARI S,et al.Comparison of retrograde intrarenal surgery and percutaneous nephrolithotomy methods for management of big-sized kidney stones(4 cm):Single center retrospective study[J].Urol J,2019,16(15):232-235. [7] YANARAL F,OZGOR F,KUCUKTOPCU O,et al.Comparison of flexible ureterorenoscopy and mini percutaneous nephrolithotomy in the management of multiple renal calculi in 10-30 mm size[J].Urol J,2019,16(15):326-330. [8] 刘红雷,谷亚明,韩阳军,等.经皮肾镜取石术治疗上尿路结石术后发生全身炎症反应综合征的相关因素分析[J].国际外科学杂志,2019,46(1):36-39. [9] DOIZI S,UZAN A,KELLER E X,et al.Comparison of intrapelvic pressures during flexible ureteroscopy,mini-percutaneous nephrolithotomy,standard percutaneous nephrolithotomy,and endoscopic combined intrarenal surgery in a kidney model[J].World J Urol,2020,25(15):2709-2717. [10] 赵国斌,刘鑫,唐玉红,等.逆行输尿镜肾内手术处理同侧有症状输尿管结石及无症状肾结石的可行性[J].中国医药导报 2019,24(16):74-76. [11] 李建,陈爽,王强,等.经皮肾镜碎石取石术中放置肾盂造瘘管对肾结石患者围术期指标、炎症因子及术后并发症的影响[J].实用医院临床杂志,2020,17(2):164-167.
2023, Vol. 40 
