摘要
目的探讨结石术前评估对输尿管镜下钬激光碎石的重要性。方法 2007年7月～2011年12月收治入院行经尿道输尿管镜下钬激光碎石治疗患者221例。随机分成2组:对照组不采用术前评估,研究组采用规定的术前评估。比较2组病例的手术失败率、手术时间、术后住院天数及术后并发症,并结合临床资料进行分析。结果与对照组比较,术前标准化评估组手术失败1例(P<0.05),手术时间(32±13)min(P<0.01),术后住院天数(2.6±1.2)(dP<0.01),差异均有统计学意义。其中对照组中9例钬激光碎石失败(8.7%):包括输尿管穿孔1例,输尿管扭曲、狭窄3例,输尿管息肉包裹结石嵌顿2例,输尿管上段结石漂移1例,前列腺中叶增生抬高至进镜困难1例,输尿管膀胱开口处粘连狭窄无法进镜1例。结论完善的结石术前评估能有效减少输尿管钬激光碎石手术的失败。
Objective To explore calculus preoperative assessment on importance of holmium： YAG laser lithotripsy under ureteroscope. Methods From July 2007 to December 2011, 221 patients were prepared through urethral ureteroscope and holmium： YAG laser lithotripsy in treatment. Divided into two groups, one group with specified selection of preoperative assessment. Surgical failure rates of the two groups of cases, surgical complications, postoperative hospital stay and surgery, and clinical data for analysis. Results Comparison of two groups, failed 1 standardization of preoperative assessment group （P〈0.05）, surgery （32213） minutes （P〈0.01）, postoperative hospital stay （2.6±1.2） （P〈0.01）,differences are statistically significant. 9 cases of holmium： YAG laser lithotripsy failure in the control group （8.7 percent）. Includes 1 .ureter perforation cases, ureteral twisting, narrow in 3 cases,calculus incarcerated ureteral polyp parcel 2 cases, upper ureteral calculi drift 1, prostatic hyperplasia up to mirror the difficulties in the middle 1, narrow will not feed mirror 1 ureter bladder opening adhesion. Conclusion Preoperative evaluation of perfect stones can effectively reduce the failures of ureteroscope and holmium： YAG laser lithotripsy.
出处
《当代医学》
2012年第21期106-108,共3页
Contemporary Medicine
关键词
输尿管镜
钬激光碎石
术前评估
重要性
Ureteroscopy
Holmium laser lithotripsy
Preoperative evaluation
Importance
