术前留置双J管对输尿管软镜手术成功率及效果的影响

发布时间：2018-04-08 08:44

本文选题：肾结石　切入点：输尿管软镜　出处：《新疆医科大学》2017年硕士论文

【摘要】：目的:探讨术前留置双J管对输尿管软镜碎石术一期手术成功率、手术时间等的影响。方法:回顾性研究我科自2014年1月至2015年8月因肾结石或输尿管上段结石行经输尿管软镜钬激光碎石术的患者98例。按术前留置双J管3-5天后行输尿管软镜碎石和术前未留置双J管直接行软镜碎石分为两组。比较分析两组一期手术成功率、手术时间、术后并发症、术后住院时间及住院费用的差别。结果:术前留置双J管3-5天再行输尿管软镜碎石组与术前未留置双J管直接行输尿管软镜碎石组相比一期手术成功率分别为98%(49/50)和89.6%(43/48),P0.05,差异无统计学意义;手术时间分别为44.0±12.9分钟和54.2±11.5分钟,P0.05,差异有统计学意义;住院费用分别为20183.24±3425.7元和15655.4±3542.3元,P0.05,差异有统计学意义;在术后并发症及术后住院时间方面则无明显差别。结论:术前留置双J管3-5天再行输尿管软镜碎石组的手术成功率较高,但差异无统计学意义;术前留置双J管可明显缩短软镜碎石手术时间,效果肯定。
[Abstract]:Objective: to investigate the effect of indwelling double J tube before operation on the success rate and operative time of primary ureteral soft lithotripsy.Methods: 98 patients with renal calculi or upper ureteral calculi underwent holmium: YAG laser lithotripsy through ureter from January 2014 to August 2015 were retrospectively studied.The patients were divided into two groups according to ureteral soft lithotripsy after 3 to 5 days of indwelling double J tube before operation and direct soft endoscopy lithotripsy without double J tube before operation.The difference of success rate, operation time, postoperative complications, postoperative hospitalization time and hospitalization cost between the two groups was compared.Results: the successful rate of ureteral soft microscope lithotripsy group was 98 / 49 / 50 and 89. 6% / 43 / 48 respectively, compared with that of unindwelled double J tube lithotripsy group (P 0. 05). There was no significant difference between the two groups (P < 0. 05), and there was no significant difference between the two groups (P < 0. 05, P < 0. 05, P < 0. 05).The operative time was 44.0 卤12.9 minutes and 54.2 卤11.5 minutes respectively, the difference was statistically significant, the hospitalization expenses were 20183.24 卤3425.7 yuan and 15655.4 卤3542.3 yuan respectively, the difference was statistically significant, but there was no significant difference in postoperative complications and postoperative hospitalization time.Conclusion: the successful rate of ureteral soft lithotripsy was higher in the group of 3 to 5 days with double J tube retained before operation, but the difference was not statistically significant, and the operative time of soft endoscope lithotripsy could be shortened obviously by retaining double J tube before operation, and the effect was positive.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R699.4

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