封堵取石导管在输尿管上段结石治疗中的应用价值分析

doi:10.3969/j.issn.1005-6483.2019.12.017

摘要/Abstract

摘要： 目的比较使用封堵取石导管联合输尿管镜钬激光碎石术治疗输尿管上段结石的临床效果和安全性。方法输尿管上段结石病人120例，随机分为两组，每组各60例，封堵器组采用封堵取石导管，无封堵器组不使用任何封堵装置组，行输尿管镜下钬激光碎石术，观察两组手术时间、碎石率及并发症发生情况。结果封堵器组一期碎石成功率为93.3%，无封堵器组为78.3%，封堵器组术后住院时间为（2.5±0.4）天，无封堵器组（3.7±0.6）天；封堵器组术后随访无石率为96.7%，无封堵器组为86.7%，两组比较差异均有统计学意义（P<0.05）。两组手术并发症比较差异无统计学意义（P＞0.05）。结论输尿管镜下使用封堵取石导管联合钬激光碎石，可减少输尿管上段结石的漂移，提高结石清除率，缩短住院时间。

关键词: 输尿管结石, 输尿管镜检查, 碎石术, 封堵取石导管

Abstract: Objective To evaluate the efficacy and safety of ureteral occlusion device used in ureteroscopic holmium laser lithotripsy for treatment of upper ureteral calculi.Methods 120 patients with upper ureteral calculi were randomly divided into two groups：60 patients were treated with ureteral occlusion device（test group），and 60 patients were treated without ureteral occlusion device（control group），and the efficacy and safety were observed.Results The primary calculus elimination rate，the length of stay hospital and post-operative stone-free-rate in test group were significantly better than those in control group：93.3% vs.78.3%，（2.5±0.4)d vs.(3.7±0.6)d，96.7% vs.86.7%，and there were significant differences（P<0.05）.There was no significant difference in surgical complications between the two groups（P＞0.05）.Conclusion The blocking catheter combined with holmium laser lithotripsy under ureteroscopy can reduce the drift of upper ureteral calculi, improve the clearance rate of calculi and shorten the hospital stay.

Key words: ureter calculi, ureteroscopy, lithotripsy, ureteral occlusion device

屠民琦, 傅旭辰, 王曦龙, 章俊, 施国伟. 封堵取石导管在输尿管上段结石治疗中的应用价值分析[J]. 临床外科杂志, 2019, 27(12): 1067-1069.

TU Minqi, FU Xuchen, WANG Xilong, et al.. The value of ureteral occlusion device in the treatment of upper ureteral calculi[J]. JOURNAL OF CLINICAL SURGERY, 2019, 27(12): 1067-1069.

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