电子输尿管软镜与组合式输尿管软镜下钬激光碎石治疗肾下盏结石的疗效分析

发布时间：2018-07-13 08:07

【摘要】：目的探讨输尿管软镜下钬激光碎石术治疗肾下盏结石的治疗效果,并比较电子输尿管软镜与组合式输尿管软镜下钬激光碎石治疗肾下盏结石的疗效。方法回顾性总结肾下盏结石93例患者,其中48例采用电子输尿管镜下碎石治疗(电子输尿管软镜组、DFU组),45例采用组合式输尿管镜下碎石治疗(组合式输尿管软镜组、MFU组),比较两组的碎石效果及并发症。结果两组的平均碎石时间和一期结石清除率比较差异均有统计学意义(P0.05),住院时间、寻石成功率、并发症发生率和住院费用比较差异均无统计学意义(P0.05)。结论 DFU和MFU处理肾下盏结石均安全,有效。使用DFU比使用MFU治疗肾下盏结石手术时间更短,结石清除率更高,效果更好。两者住院费用差异不大,但使用MFU可适当减少科室成本。
[Abstract]:Objective to evaluate the efficacy of holmium laser lithotripsy under soft ureteroscope in the treatment of subrenal calyceal calculi, and to compare the therapeutic effect between electronic ureteroscopy and combination ureteral lithotripsy. Methods 93 patients with subrenal calyceal calculi were retrospectively analyzed. Among them, 48 cases were treated with electronic ureteroscopic lithotripsy (EDU group) and 45 cases were treated with combined ureteroscopic lithotripsy (MFU group). The lithotripsy effect and complications were compared between the two groups. Results there were significant differences in mean lithotripsy time and primary stone clearance rate between the two groups (P0.05), but there was no significant difference in hospitalization time, success rate of stone seeking, incidence of complications and hospitalization expenses (P0.05). Conclusion both DFU and MFU are safe and effective in the treatment of subrenal calyceal stones. DFU is more effective than MFU in the treatment of subrenal calyceal calculi. There was no significant difference in hospitalization costs between the two groups, but MFU could reduce the cost of departments.
【作者单位】：福建省厦门市第五医院(厦门大学附属第一医院同民分院)泌尿外科;厦门大学附属第一医院(总院)泌尿外科;
【分类号】：R699.2

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