摘要
目的探讨一种新的评估方法——输尿管-肾下盏距离(ureter-lower calyx distance,ULD)在肾下盏结石患者中的运用效果。方法回顾性分析2021年10月—2022年12月华中科技大学同济医学院附属协和医院泌尿外科收治的126例肾下盏结石患者的临床资料。所有患者均行输尿管软镜处理肾下盏结石。分析分别采用肾盂漏斗部夹角(infundibulopelvic angle,IPA)分组与ULD分组比较患者手术时间和术后清石率的差异。结果以IPA进行分组,分为IPA>30°组和IPA≤30°组,2组手术时间和清石率比较差异有统计学有意义(P<0.05);以ULD进行分组,分为ULD>3 cm组和ULD≤3 cm组,2组手术时间和清石率比较差异有统计学意义(P<0.05)。IPA>30°组与ULD>3 cm组手术时间和清石率比较差异无统计学意义。结论ULD作为一种全新的输尿管软镜术前评估指标,较IPA更方便简单,实用性强,值得在临床进一步推广。
Objective To investigate the effect of a new evaluation method:ureter-lower calyx distance(ULD)in patients with lower pole kidney stones.Methods The data of 126 patients with lower pole kidney stones treated from October 2021 to December 2022 were retrospectively analyzed.All patients were treated by flexible ureteroscopy.The differences in operative time and postoperative stone free rate between infundibulopelvic angle(IPA)group and ULD group were analyzed.Results IPA was divided into IPA>30°group and IPA≤30°group,and there were significant differences in operation time and postoperative stone free rate between the two groups.ULD was divided into ULD>3 cm group and ULD≤3 cm group,and there were significant differences in operation time and postoperative stone free rate between the two groups.However,there was no significant difference between the IPA>30°group and ULD>3 cm group in operation time or postoperative stone free rate.Conclusion ULD as a new preoperative evaluation index of flexible ureteroscopy is more convenient,simple and practical than IPA,so it's worthy of further promotion in clinic.
作者
杨雄
梁华庚
荣佑民
刘宏
石瑛
海波
韩晓敏
鞠文
章小平
李文成
YANG Xiong;LIANG Huageng;RONG Youmin;LIU Hong;SHI Ying;HAI Bo;HAN Xiaomin;JU Wen;ZHANG Xiaoping;LI Wencheng(Department of Urology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430022,China;School of Mechanical Science and Engineering,Huazhong University of Science and Technology;School of Computer Science and Technology,Huazhong University of Science and Technology)
出处
《临床泌尿外科杂志》
CAS
2023年第6期418-420,共3页
Journal of Clinical Urology
关键词
肾下盏结石
输尿管软镜
肾盂漏斗部夹角
输尿管-肾下盏距离
清石率
lower pole kidney stone
flexible ureteroscopy
infundibulopelvic angle
ureter-lower calyx distance
stone free rate