摘要
目的探讨输尿管路封堵器在输尿管镜钬激光碎石术治疗输尿管中上段结石的安全性及有效性。方法回顾性分析158例患者行输尿管镜下钬激光碎石治疗输尿管中上段结石患者的临床资料,其中应用输尿管路封堵器75例(A组),单纯输尿管镜碎石术83例(B组)。比较两组患者的碎石成功率、结石清除率、手术时间、手术并发症发生率。结果 A、B两组手术时间分别为(31.5±5.8)min和(43.2±6.3)min,单次碎石成功率分别为93.3%和85.5%,结石清除率为97.1%、85.9%,组间差异均有统计学意义(P<0.05)。两组术后住院时间分别为(3.2±0.4)d和(3.1±0.5)d,输尿管并发症发生率分别为1.3%和1.2%,两组间比较差异无统计学意义(P>0.05)。结论输尿管镜下钬激光碎石治疗输尿管中上段结石使用输尿管管路封堵器能有效减少输尿管镜术中结石漂移,提高碎石成功率和结石排尽率,操作简单、方便,不增加手术并发症的概率。
Objective To evaluate the efficacy and safety of ureteral occlusion devices used in ureteroscopic holium laser lithotripsy for the treatment of upper-middle ureteral calculi.Method 158 patients with upper-middle ureteral calculi were treated with holium laser lithotripsy.In group A, 75 patients underwent lithotripsy with an INNOVEX IVX-SC10 ureteral occlusion device.In group B, 83 patients underwent lithotripsy without any ureteral occlusive device.Findings In group A and B, the mean operative time was （31.5 ±5.8） minutes and （43.2 ±6.3） minutes where the intraoperative success rate was 93.3%（70/75） and 85.5%（71/83） and the postoperative stone-free rate was 97.1%（68/70） and 85.9%（61/71） respectively.The difference between the two groups was significant （P〈0.05）.The mean postoperative hospital stay was （3.2 ±0.4）days and （3.1 ±0.5）days where the complication rate was 1.3%（1/75） and 1.2%（1/83） for group A and B respectively.The difference was not significant （ P 〉0.05 ） .Conclusion The use of INNOVEX IVX-SC10 ureteral occlusion device is valuable during ureteroscopic holium laser lithotripsy for the treatment of upper-middle ureteral stone for preventing sto.
出处
《健康研究》
CAS
2015年第4期403-405,共3页
Health Research
关键词
输尿管结石
钬激光碎石术
输尿管封堵器
输尿管损伤
输尿管镜
ureteral calculus
holmium laser lithotripsy
ureteral occlusion device
ureteral injury
ureteroscopy
