摘要
目的探讨输尿管软镜治疗肾下盏结石的疗效及安全性。方法回顾分析2009年1月至2013年4月云南结石病医院行逆行输尿管软镜钬激光碎石取石术治疗肾下盏结石98例,根据结石的大小将其分为两组:A组直径≥20 mm,共42例;B组直径<20 mm,共56例。对两组的手术成功率、手术时间、并发症、辅助ESWL治疗、再次手术率及结石清除率进行对比研究。结果两组间进镜成功率及碎石成功率无统计学差异(P>0.05);手术时间有统计学差异(P<0.05);术后明显肉眼血尿、发热、腰痛、腹胀等并发症的发生率两组有统计学差异(P<0.05);术后辅助ESWL治疗及再次手术率两组有统计学差异(P<0.05),术后2个月结石清除率比较差异无统计学意义(P>0.05)。结论输尿管软镜治疗肾下盏结石是一种安全、有效的微创方法,手术的疗效与结石的大小呈正相关,对于直径<20 mm的肾下盏结石,手术疗效要明显优于直径≥20 mm结石。
Objective To evaluate the efficacy and safety of the flexible ureteroscopy in treating lower calyceal calculi. ~ A total of 98 patients underwent retrograde flexible ureteroseopic procedures for the lower calyceal calculi, together with Holmium laser lithotripsy from January 2009 to April 2013. All cases were devided into two groups by the stone diameter （Group A： diameter ≥20 mm, Group B： diameter〈 20 mm）. This study try to compare the difference about the success rate of endoscopic insertion and lithothotripsy, the operation time, the rate of ESWL treatment, reoperation, the clearance and complications between two groups. Results We found that there were no statistic differences in the success rate of endoscopic insertion and the success rate of lithotripsy between two groups （P〉0.05）. There were statistic differences in the mean operation time and the occurrence rate of post-operation complications （macroscopic hematuria, fever lumbago and abdominal distention） between two groups （P〈0.05）. Comparing the rate of post-operation ESWL and second operation, there are statistic differences between two groups （P〈0.05）, and there is no difference in the two months clearance after operation （P〉0.05）. Conclusion Flexible ureteroscopy in treating lower calyceal calculies is a safe, effective and minimally traumatic technique. The efficacy of operation is related with the diameter of the stone. The efficacy in treating lower calyceal calculi of〈20mm in diameter is better than ≥20 mm in diameter.
出处
《中华腔镜泌尿外科杂志（电子版）》
2015年第1期29-32,共4页
Chinese Journal of Endourology(Electronic Edition)
基金
泌尿外科微创诊疗技术的研究及临床应用(CGPY201404)
关键词
输尿管软镜
肾下盏结石
疗效
Flexible ureteroscopy
The lower calyceal calculi
Efficacy
