摘要
目的探讨输尿管软镜碎石术(FURS)治疗体外冲击波碎石术(ESWL)预处理后的肾下盏结石的疗效。方法选取2017年8月至2020年8月间本院收治的100例肾下盏结石患者作为研究对象,随机分为常规输尿管软镜碎石组(FURS组,52例)及输尿管软镜联合ES-WL组(FURS+ESWL组,48例)。比较两组患者的结石清除率(SFR)、术后疼痛视觉模拟评分(VAS)、手术时间及并发症发生率。结果FURS+ESWL组的结石清除率高于FURS组,差异具有统计学意义(P<0.05);FURS+ESWL组的手术时间及VAS评分低于FURS组,差异具有统计学意义(P<O.05)。FURS+ESWL组患者的发热、腰腹痛等术后并发症发生率低于FURS组,差异具有统计学意义(P<0.05)。结论FURS治疗ESWL预处理后的肾下盏结石,可降低手术难度,提高术后SFR,减少手术时间及并发症的发生,同时具有延长输尿管软镜使用寿命、降低手术成本及患者经济负担等优点,值得临床推广应用。
Objective To explore the effect of flexible ureleroscopic lithotripsy(FURL)in the treatment of inferior calyceal calculi pretreated with extracorporeal shock wave lithotripsy(ESWL).Methods From August 2017 to August 2020,100 patients wilh lower calyceal calc uli in our hospital were selected as the researc h objects.According to the principle of random grouping,they were divided into conventional flexible ureteroscope lithotripsy group(FUKL group,52 cases)and FLRL combined with ESWL group(FUKL+ESWL group,48 cases).The stone clearance rate,operation time and complication rate were compared between the two groups.Results The stone clearance rate of FURL+ESWL group was higher than that of FURL group,the difference was statistically significant(P<0.05);the operation time of FURS+ESWL group was less than that of FURL group,the difference was statistically significant(P<0.05).There was statistically significant difference in the incidence of postoperative complications between the two groups(P<0.05).Conclusions FURL+ESWL can reduce the difficulty of operation,improve the stone clearance rate,reduce the operation time and complications.At the same time,it has the advantages of prolonging the service life of flexible ureteroscope,reducing the operation cost and the economic burden of patients.It has the value of clinical application.
作者
梁镇锋
张增强
黄荏钊
卢世隆
莫俊华
卢建军
罗道升
Liang Zhenfeng;Zhang Zengqiang;Huang Renzhao;Lu Shilong;Mo Junhua;Lu Jianjun;Luo Daosheng(Department of Urology,the People's Hospital of Donggiian City,Dongguan 523000,China)
出处
《国际泌尿系统杂志》
2021年第5期833-836,共4页
International Journal of Urology and Nephrology
