螺旋状套石篮辅助输尿管软镜钬激光碎石术治疗单侧直径大于1厘米输尿管上段结石临床研究

发布时间：2018-04-21 12:56

本文选题：套石篮 + 输尿管软镜钬激光碎石术　；参考：《中国内镜杂志》2017年01期

【摘要】：目的探讨螺旋状套石篮辅助输尿管软镜钬激光碎石术(FURL)治疗单侧直径1.0 cm输尿管上段结石临床疗效及安全性。方法研究对象选取该院2012年1月-2015年12月收治的单侧直径1.0 cm输尿管上段结石患者共140例,以随机抽签法分为对照组(70例)和观察组(70例),分别采用FURL术单用和在此基础上加用螺旋状套石篮辅助治疗;比较两组患者围手术期临床指标、碎石成功率、结石清除率、结石上移率及术后并发症发生率等。结果观察组患者手术时间明显长于对照组,差异具有统计学意义(P0.05);两组患者术中出血量和住院时间比较差异无统计学意义(P0.05);观察组患者碎石成功率和结石清除率均明显高于对照组,差异具有统计学意义(P0.05);观察组患者结石上移率明显低于对照组,差异具有统计学意义(P0.05);同时两组患者术后并发症发生率比较差异无统计学意义(P0.05)。结论螺旋状套石篮辅助FURL术治疗单侧直径1.0 cm输尿管上段结石可有效提高结石清除效果,降低结石上移风险,且未增加术后并发症发生概率。
[Abstract]:Objective to evaluate the efficacy and safety of helical lithotripsy assisted with holmium: YAG laser lithotripsy in the treatment of unilateral upper ureteral calculi (1.0 cm in diameter). Methods 140 patients with upper ureteral calculi with a diameter of 1.0 cm were selected from January 2012 to December 2015. Randomly divided into control group (n = 70) and observation group (n = 70) were treated with FURL alone or on the basis of spiral stone basket, the clinical indexes of perioperative period, lithotripsy success rate, stone removal rate were compared between the two groups. The rate of upward removal of stones and the incidence of postoperative complications. Results the operative time of the patients in the observation group was longer than that in the control group. The difference was statistically significant (P 0.05), there was no significant difference in blood loss and hospitalization time between the two groups (P 0.05). The success rate of lithotripsy and the removal rate of stone in the observation group were significantly higher than those in the control group. The difference was statistically significant (P 0.05), the rate of stone upward movement in the observation group was significantly lower than that in the control group (P 0.05), and there was no significant difference in the incidence of postoperative complications between the two groups (P 0.05). Conclusion Spiral stone basket combined with FURL in the treatment of upper ureteral calculi with unilateral diameter of 1.0 cm can effectively improve the removal of stones, reduce the risk of stone upward migration, and do not increase the probability of postoperative complications.
【作者单位】：江苏省常州市第三人民医院泌尿外科;
【分类号】：R699.4

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