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

doi:10.3969/j.issn.1671-7171.2023.01.020

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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.

Key words： Ureteral Diseases/CO Kidney Calculi/CO Kidney Calculi/SU Nephrostomy, Percutaneous Treatment Outcome

Received: 21 March 2022

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R693

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	Articles by authors
	SHI Feng
	SUN Wen-gong
	LIU Zeng-zhen
	et al

Cite this article:

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[J]. JOURNAL OF CLINICAL RESEARCH, 2023, 40(1): 68-70.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2023.01.020 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2023/V40/I1/68

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