Yang Lingbo, Lu Shuaiqi, Han Xingtao, Wei Pengtao, Yang Jinhui, Hao Tongtong
Prof. Lingbo Yang, MD. Department of Urology, Luoyang Central Hospital affliliated to Zhengzhou University, 471000, Luoyang, China.
Prof. Shuaiqi Lu, MM. Department of Urology, Luoyang Central Hospital affliliated to Zhengzhou University, 471000, Luoyang, China.
Pak J Med Sci. 2016 May-Jun;32(3):635-40. doi: 10.12669/pjms.323.9281.
To compare the efficiency and security of the balloon dilators versus fascial dilators in percutaneous nephrolithotripsy (PCNL), We compared the difference of intraoperative and postoperative parameters of patients using these two different methods of expansion and having no significant statistic differences in peroperative parameters.
This is a retrospective analysis of 134 patients undergoing PCNL with upper urinary calculi from January 2012 to January 2014 in Luoyang Central Hospital affiliated to Zhengzhou University. These patients meeting the inclusion criteria were divided into two groups: the group of balloon dilators (group A) and the group of fascial dilators (group B). Two groups were compared for success rate of first expansion, clearance of stone, duration of surgery, intraoperative hemorrhage, blood transfusion rate, postoperative hospitalization and the incidence of complications.
In Group A, a total of 91 patients (51 men and 40 women, mean age 51.22±8.96 years, ranged from 28 to 68 years, the calculi maximum diameter from 0.9 to 4.5cm, 28 cases with a history of gravel, mean Body mass index 24.20±2.34, 73 cases with hydronephrosis and 26 cases with underlying diseases such as hypertension, diabetes and the like) undergoing PCNL were retrospectively reviewed. Similarly, In Group B, a total of 43 patients (28 men and 15 women, mean age 49.64±10.62 years, ranged from 15 to 70 years, the calculi maximum diameter from 1.1 to 5.2cm, 18 cases with a history of gravel, mean Body mass index 24.40±2.70, 38 cases with hydronephrosis and 14 cases with underlying diseases such as hypertension, diabetes and the like) undergoing PCNL were retrospectively reviewed. Our results showed that there was a statistically significant better outcome in Group A than in Group B in terms of success rate of first exploration, duration of operation, intraoperative hemorrhage, postoperative hospitalization and the incidence of complications. Additionally, there was no statistically significant difference with respect to clearance of stone and incidence of blood transfusion in the two groups.
Balloon dilators had shorter operation time, less bleeding, higher success rate of first expansion, less postoperative complications and shorter postoperative hospitalization than fascial dilators in PCNL.
为比较球囊扩张器与筋膜扩张器在经皮肾镜取石术（PCNL）中的有效性和安全性，我们比较了使用这两种不同扩张方法且手术相关参数无显著统计学差异的患者的术中和术后参数。
这是一项对2012年1月至2014年1月在郑州大学附属洛阳中心医院接受PCNL治疗上尿路结石的134例患者的回顾性分析。符合纳入标准的患者被分为两组：球囊扩张器组（A组）和筋膜扩张器组（B组）。比较两组首次扩张成功率、结石清除率、手术时间、术中出血、输血率、术后住院时间及并发症发生率。
A组共回顾性分析了91例行PCNL的患者（男51例，女40例，平均年龄51.22±8.96岁，年龄范围28至68岁，结石最大直径0.9至4.5cm，28例有碎石史，平均体重指数24.20±2.34，73例有肾积水，26例有高血压、糖尿病等基础疾病）。同样，B组共回顾性分析了43例行PCNL的患者（男28例，女15例，平均年龄49.64±10.62岁，年龄范围15至70岁，结石最大直径1.1至5.2cm，18例有碎石史，平均体重指数24.40±2.70，38例有肾积水，14例有高血压、糖尿病等基础疾病）。我们的结果显示，在首次探查成功率、手术时间、术中出血、术后住院时间及并发症发生率方面，A组的结果在统计学上显著优于B组。此外，两组在结石清除率和输血发生率方面无统计学显著差异。
在PCNL中，球囊扩张器较筋膜扩张器手术时间短、出血少、首次扩张成功率高、术后并发症少且术后住院时间短。
