输尿管软镜联合碎石术同期治疗双侧上尿路结石患者的临床研究
发布时间：2018-11-19 10:04
【摘要】：目的评价输尿管软镜(FURL)联合钬激光碎石术同期治疗双侧上尿路结石患者的安全性和有效性。方法回顾性分析该院2014年9月至2016年11月采用FURL联合钬激光碎石术同期治疗双侧上尿路结石患者43例的临床资料。所有患者术前行CT扫描,术中置入FURL,使用200μm光纤,0.8~1.0J/10~20Hz功率进行碎石,配合使用取石网篮,碎石后常规留置双侧输尿管支架管。术后1d复查KUB或CT,结石残留者4~6周后取出输尿管支架管时再次复查KUB。结果所有患者均一次性成功置入输尿管软镜,平均手术时间(101.5±37.2)min,结石清除率(SFR)为81.4%(35/43)。结石负荷小于30mm清除率为100.0%,与大于或等于30mm(63.2%)比较差异有统计学意义(P0.05)。术后1例患者出现发热(39.5℃),1例患者出现肾包膜下血肿,无其他严重并发症发生,术后住院时间平均4d。结论 FURL联合钬激光碎石术是同期治疗双侧上尿路结石的有效手段,尤其是对于结石负荷小于30mm者,具有较高的SFR,安全性良好。
[Abstract]:Objective to evaluate the safety and efficacy of (FURL) combined with holmium laser lithotripsy in the treatment of bilateral upper urinary calculi. Methods the clinical data of 43 patients with bilateral upper urinary calculi treated with FURL combined with holmium laser lithotripsy from September 2014 to November 2016 were retrospectively analyzed. All patients underwent CT scan before operation, 200 渭 m optical fiber was inserted into FURL, 0.8~1.0J/10~20Hz power was used for lithotripsy, and stone basket was used together. After lithotripsy, bilateral ureteral stents were routinely placed. One day after operation, KUB or CT, stones remained in the ureteral stents, and the ureteral stents were removed from the ureteral stents for 4 to 6 weeks. The KUB. was re-examined. Results all patients were successfully implanted with soft ureteroscopy at one time. The average operative time was (101.5 卤37.2) min, stone clearance rate (SFR) was 81.4% (35 / 43). The stone load was less than 30mm clearance rate was 100.00.Compared with 30mm (63.2%), the difference was statistically significant (P0.05). One patient had fever (39.5 鈩，
本文编号：2341964
[Abstract]:Objective to evaluate the safety and efficacy of (FURL) combined with holmium laser lithotripsy in the treatment of bilateral upper urinary calculi. Methods the clinical data of 43 patients with bilateral upper urinary calculi treated with FURL combined with holmium laser lithotripsy from September 2014 to November 2016 were retrospectively analyzed. All patients underwent CT scan before operation, 200 渭 m optical fiber was inserted into FURL, 0.8~1.0J/10~20Hz power was used for lithotripsy, and stone basket was used together. After lithotripsy, bilateral ureteral stents were routinely placed. One day after operation, KUB or CT, stones remained in the ureteral stents, and the ureteral stents were removed from the ureteral stents for 4 to 6 weeks. The KUB. was re-examined. Results all patients were successfully implanted with soft ureteroscopy at one time. The average operative time was (101.5 卤37.2) min, stone clearance rate (SFR) was 81.4% (35 / 43). The stone load was less than 30mm clearance rate was 100.00.Compared with 30mm (63.2%), the difference was statistically significant (P0.05). One patient had fever (39.5 鈩，
本文编号：2341964
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