Percutaneous Nephrolithotomy vs Retrograde Intrarenal Surgery for Large Renal Stones in Pediatric Patients: A Randomized Controlled Trial
Percutaneous Nephrolithotomy vs Retrograde Intrarenal Surgery for Large Renal Stones in Pediatric Patients: A Randomized Controlled Trial
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DOI：
10.1016/j.juro.2015.06.101
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发表时间：
2015-12-01
影响因子：
6.6
通讯作者：
El-Nahas, Ahmed R.
中科院分区：
文献类型：
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作者：
Saad, Karim S. M.;Youssif, Mohamed Elsaid;El-Nahas, Ahmed R.
目的：比较经皮肾镜取石术和逆行肾内手术治疗儿童肾结石大于2 cm的疗效。材料与方法：自2011年5月至2014年2月，38例16岁以下肾结石大于2 cm的患儿随机分为经皮肾镜取石术和逆行肾内手术两组。比较两组患者的人口学资料、结石标准、手术方法、放疗时间、并发症、输血量、血红蛋白下降、结石排净率和住院时间。结果：本研究共收集43个肾单位，其中21个接受逆行肾内手术，22个接受经皮肾镜取石术。两组的手术时间相似。经皮肾取石术后平均放射治疗时间和住院时间延长(P
Purpose: We compared outcomes of percutaneous nephrolithotomy and retrograde intrarenal surgery in the treatment of children with renal calculi larger than 2 cm.Materials and Methods: A total of 38 patients younger than 16 years with renal calculi larger than 2 cm were randomized to undergo percutaneous nephrolithotomy or retrograde intrarenal surgery between May 2011 and February 2014. Demographic data, stone criteria, operative technique, radiation time, complications, blood transfusion, hemoglobin decrease, stone-free rate and length of hospital stay were compared between the groups. Stone-free status was documented if there were no residual stones after 1 month.Results: The study included 43 renal units, of which 21 were subjected to retrograde intrarenal surgery and 22 to percutaneous nephrolithotomy. Operative time was comparable for both groups. Mean radiation time and hospital stay were longer after percutaneous nephrolithotomy (p