输尿管硬镜结合软镜鞘联合软镜治疗输尿管中上段结石的回顾性分析

发布时间：2018-12-10 23:03

【摘要】：目的探讨输尿管硬镜结合软镜鞘联合软镜治疗输尿管中上段结石的临床价值。方法回顾性分析2014年11月-2016年8月确诊输尿管中上段结石住院患者,治疗组110例:先用输尿管硬镜经过软镜鞘碎石取石,再使用输尿管软镜通过软镜鞘碎石取石;对照组110例:采用传统直接用软镜经过软镜鞘碎石。两组患者在年龄、性别、结石大小和发病部位无差异(P0.05),比较两组患者手术时间、结石处理时间、住院日、术后并发症及随访复发情况。结果治疗组有效率为90.0%,高于对照组87.3%但差异无统计学意义(P0.05);在手术处理时间、结石处理时间和软镜使用台次上,治疗组明显高于对照组(P0.05);而住院时间、并发症发生比例在两组间差异无统计学意义(P0.05)。结论使用输尿管硬镜结合软镜及软镜鞘较传统软镜碎石方法,治疗效果好,复发率低,且能延长软镜的使用寿命,值得临床推广。
[Abstract]:Objective to evaluate the clinical value of rigid ureteroscopy combined with soft sheath and soft endoscopy in the treatment of upper ureteral calculi. Methods from November 2014 to August 2016, 110 patients with upper and middle ureteral calculi were analyzed retrospectively. The patients in the treatment group were treated with ureteral hard endoscopy through soft ensheathing lithotripsy, then ureteral soft endoscope was used for lithotripsy through soft sheath lithotripsy. The control group (110 cases) was treated with traditional soft endoscope and treated with soft lens sheath lithotripsy. There was no difference in age, sex, stone size and location between the two groups (P0.05). The operation time, stone treatment time, hospital stay, postoperative complications and recurrence were compared between the two groups. Results the effective rate of the treatment group was 90.0%, which was higher than that of the control group (87.3%), but the difference was not statistically significant (P0.05). However, there was no significant difference between the two groups in the duration of hospitalization and the incidence of complications (P0.05). Conclusion the use of rigid ureteroscopy combined with soft endoscopy and soft lens sheath is more effective than traditional soft lens lithotripsy, and can prolong the service life of soft endoscopy, which is worth popularizing in clinic.
【作者单位】：中南大学湘雅二医院泌尿外科;湖南省长沙市中心医院泌尿外科;
【分类号】：R699.4

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