Xu Ran, Li Song, Zhao Hongqing, Dong Zhitao, Jiang Hongyi, Zhao Xiaokun, Liu Ren, Hou Yi
Department of Urology, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2012 Aug;37(8):840-3. doi: 10.3969/j.issn.1672-7347.2012.08.014.
To compare the outcome of mini-tract vs standard-tract percutaneous nephrolithotomy (PCNL) in staghorn calculi.
Between May 2009 and May 2011, 122 patients with renal staghorn calculi were treated by PCNL. Fifty-six patients underwent mini-PCNL and the others underwent standard-PCNL. The therapeutic effect and complication of the 2 groups were compared.
The two groups had comparable demographic conditions. Although the operation time was significantly longer in mini-PCNL group [(126±24.5) min vs (98±18.9) min], there was no striking difference in hospital stay [(5.7±1.3) d vs (5.3±1.1) d], hemoglobin drop [(9.5±3.2) g/L vs (10.5±3.3) g/L], stone-free state before charge (91.1% vs 89.4%) and complications.
The efficacy and safety of mini-PCNL and standard-PCNL are not significantly different.
比较微创经皮肾镜取石术（mini-PCNL）与标准通道经皮肾镜取石术（PCNL）治疗鹿角形结石的效果。
2009年5月至2011年5月，122例鹿角形肾结石患者接受PCNL治疗。56例患者接受mini-PCNL，其余患者接受标准PCNL。比较两组的治疗效果和并发症。
两组患者的人口统计学特征具有可比性。尽管mini-PCNL组的手术时间明显更长[（126±24.5）分钟对（98±18.9）分钟]，但住院时间[（5.7±1.3）天对（5.3±1.1）天]、血红蛋白下降幅度[（9.5±3.2）g/L对（10.5±3.3）g/L]、术前结石清除率（91.1%对89.4%）和并发症方面并无显著差异。
mini-PCNL与标准PCNL的疗效和安全性无显著差异。
