摘要
目的 :分析与输尿管镜碎石治疗输尿管结石疗效相关的影响因素。方法 :收集行输尿管镜碎石术治疗的输尿管结石患者169例,根据术后1周X线腹部平片复查结果,分为碎石成功组138例和碎石失败组31例。比较两组患者在年龄、性别、病程、结石大小、位置、有无结石嵌顿、是否合并尿路感染、尿路梗阻、碎石方法等方面的差异。结果:两组在性别、病程、结石嵌顿、碎石方法等方面差异均有统计学意义(P<0.05);多因素logistic回归分析显示,结石嵌顿、碎石方法是输尿管镜碎石术治疗输尿管结石疗效的独立影响因素。结论 :钬激光碎石成功率和安全性均较高,可作为输尿管结石推荐选择的方式。
Objective： To explore the related factors and clinical efects of ureteroscopic lithotripsy （URL） for ureteral calculi. Methods： One hundred and sixty-nine cases of patients with ureteral calculi underwent URL were selected and divided into a success group （n=138） and a failure group （n=31） based on the results of X-ray examination one week after operation. The diferences of age, sex, courses, stone size and location, urinary tract infection, urinary tract obstruction and methods for calculi break were compared between the two groups. Results： There were signifcant diferences between the two groups in sex, courses, incarcerated gallstones and methods for calculi break （P〈0.05）. Multiple logistic aggression analysis showed that incarcerated gallstones and methods for calculi break were the related independent factors affecting ureteroscopic lithotripsy for ureteral calculi. Conclusion： The success rate and safety of holmium laser lithotripsy are high, which can be used as the recommended choice for ureteral calculi.
作者
张景军
李刚
ZHANG Jingjun;LI Gang(Department of Urinary Surgery, Tianjin Fifth Central Hospital, Tianjin 300450, China;Department of Urinary Surgery, Second Hospital of Tianjin Medical University, Tianjin 300450, China)
出处
《上海医药》
CAS
2018年第9期30-31,76,共3页
Shanghai Medical & Pharmaceutical Journal
关键词
输尿管镜碎石术
输尿管结石
疗效
相关因素
ureteroscopic lithotripsy
ureteral calculi
clinical efects
related factors
