Kahriman·Islam,Zhao Fangzhou,Dilxat·Omar,et al.Retrospective comparison of two different PCNL procedures for pediatric sporadic nephrolithiasis in Xinjiang[J].Journal of Clinical Pediatric Surgery,,19():1026-1031.[doi:10.3969/j.issn.1671-6353.2020.11.013]
Retrospective comparison of two different PCNL procedures for pediatric sporadic nephrolithiasis in Xinjiang
- Keywords:
- Mini-PCNL; Microperc; Nephtolithiasis; Uygur
- CLC:
- R726.9;R692.4
- Abstract:
- Objective To compare the effectiveness and safety of mini-percutaneous nephrolithotomy (Mini-PCNL) versus Microperc for Uygur pediatric multiple nephrolithiasis.Methods Clinical data were reviewed for 68 Uygur multiple nephrolithiasis children during 2015-2020.There were 40 boys and 28 girls aged from 8 months to 12 years.The baseline data of two groups was compared,including age,gender,body mass index (BMI),laterity,positive urine culture,hydronephrosis,sum of stone diameter,computed tomography (CT) value,number of stones and involved calyces for determining the comparability of two groups.Surgical parameters,stone free rate and complications at Day 1 and Month 1 post-operation were calculated.Results Their median age was 4.0(3.0,5.0) years,BMI 16.4(15.1,17.7) kg/m2,positive urine culture preoperatively 35 cases (51.2%),urinary infection 45 (66.2%),median sum of stone diameters 2.4 (2.0,3.0) cm、1.2 (1.0,1.7) cm (P<0.001); CT values (720.3±277.2) Hu、(666.9±295.4) Hu (P=0.49); stone numbers were both (2.0,3.0)(P=0.577); involved calyces (1,2)、1 (1,1.75) (P=0.002); SFR 93.9% and 91.3% (P=0.996); median surgical duration 30 (25,52.5) min、40 (20,60) min (P=0.929); intraoperative irrigation volume 600 (300,800) ml、220 (50,300) ml (P=0.006); median hospitalization both 5.0 (4.0,6.0)d (P=0.735); perioperative drop of hemoglobin 7.0 (2.0,10.0) g/L、3.0 (2.0,6.75)g/L (P=0.284); complication rate 21.2% and 17.4% (P=0.721) respectively.Conclusion Mini-PCNL and Microperc offer comparable levels of effectiveness and safety for Uygur children of multiple nephrolithiasis with a lower mean age of onset,higher preoperative rate of urinary infection is higher and worse surgical tolerance.Also Mini-PCNL resolves heavier stone burden more effectively (sum of max stone diameters >2 cm & multiple calyceal distribution).
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Memo
收稿日期:2020-03-24。
通讯作者:李钧,Email:zfzlijun@126.com