双通道输尿管软镜与电子输尿管软镜行碎石手术的比较研究

发布时间：2018-11-22 14:49

【摘要】：目的探讨比较双通道输尿管软镜与电子输尿管软镜在行碎石手术时的碎石效率及安全性。方法收集2007年4月-2016年7月行输尿管软镜钬激光碎石的病例共836例,随机分为电子输尿管软镜组427例和双通道输尿管软镜组409例,比较两组在手术时间、成功率、并发症和残石率等方面的差异。结果电子输尿管软镜组手术成功率为92.5%,双通道输尿管软镜组手术成功率为83.6%,两组患者之间存在明显差异(P0.05);术后电子输尿管软镜组有10例出现全身炎症反应综合征(SIRS),而双通道输尿管镜组有13例出现SIRS,治疗后均好转,差异无统计学意义(P0.05);电子输尿管软镜组手术时间为(83.1±7.9)min,双通道输尿管镜组手术时间为(95.3±7.6)min,电子输尿管软镜组手术用时较短(P0.05);电子输尿管软镜组有17例发生石街形成、6例结石残留,体外冲击波碎石术(ESWL)治疗均排空。双通道输尿管软镜术后有25例发生石街形成、8例结石残留,ESWL治疗后均排空,差异均无统计学意义(P0.05)。结论双通道输尿管软镜与电子输尿管软镜行碎石手术都是安全有效的手术方式。电子输尿管软镜由于清晰度高、操作灵活,手术成功率高于双通道输尿管软镜。
[Abstract]:Objective to compare the efficiency and safety of double-channel ureteroscopy and electronic ureteroscopy in lithotripsy. Methods from April 2007 to July 2016, 836 cases of ureteral soft endoscopy with holmium: YAG laser lithotripsy were randomly divided into two groups: electronic ureteroscopy group (n = 427) and double-channel ureteroscopy group (n = 409). The operative time and success rate of the two groups were compared. Differences in complications and residual stone rates. Results the successful rate of operation was 92.5 in the electronic ureteroscope group and 83.6 in the double-channel ureteral soft microscope group. There was significant difference between the two groups (P0.05). There were 10 cases of systemic inflammatory response syndrome (SIRS),) in the electronic ureteroscope group and 13 cases in the double-channel ureteroscopy group after SIRS, treatment, the difference was not statistically significant (P0.05). The time of operation was (83.1 卤7.9) min, double-channel ureteroscopy group was (95.3 卤7.6) min, electron ureteroscopy group was shorter (P0.05). There were 17 cases of stone street formation and 6 cases of residual stone in the electronic ureteroscope group. All the patients were emptied by extracorporeal shock wave lithotripsy (ESWL). There were 25 cases of stone street formation and 8 cases of residual stone after double channel soft ureteroscopy. All the cases were emptied after ESWL treatment, the difference was not statistically significant (P0.05). Conclusion double-channel soft ureteroscopy and electronic ureteral soft-lens lithotripsy are safe and effective methods. Because of its high definition and flexible operation, the success rate of electronic ureteroscopy is higher than that of double-channel ureteroscopy.
【作者单位】：广州医科大学附属第五医院泌尿外科;广州医科大学微创外科技术和产品转化中心;
【分类号】：R699

【相似文献】