輸尿管硬鏡結(jié)合軟鏡鞘聯(lián)合軟鏡治療輸尿管中上段結(jié)石的回顧性分析
發(fā)布時間：2018-12-10 23:03
【摘要】：目的探討輸尿管硬鏡結(jié)合軟鏡鞘聯(lián)合軟鏡治療輸尿管中上段結(jié)石的臨床價值。方法回顧性分析2014年11月-2016年8月確診輸尿管中上段結(jié)石住院患者,治療組110例:先用輸尿管硬鏡經(jīng)過軟鏡鞘碎石取石,再使用輸尿管軟鏡通過軟鏡鞘碎石取石;對照組110例:采用傳統(tǒng)直接用軟鏡經(jīng)過軟鏡鞘碎石。兩組患者在年齡、性別、結(jié)石大小和發(fā)病部位無差異(P0.05),比較兩組患者手術(shù)時間、結(jié)石處理時間、住院日、術(shù)后并發(fā)癥及隨訪復(fù)發(fā)情況。結(jié)果治療組有效率為90.0%,高于對照組87.3%但差異無統(tǒng)計學(xué)意義(P0.05);在手術(shù)處理時間、結(jié)石處理時間和軟鏡使用臺次上,治療組明顯高于對照組(P0.05);而住院時間、并發(fā)癥發(fā)生比例在兩組間差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論使用輸尿管硬鏡結(jié)合軟鏡及軟鏡鞘較傳統(tǒng)軟鏡碎石方法,治療效果好,復(fù)發(fā)率低,且能延長軟鏡的使用壽命,值得臨床推廣。
[Abstract]:Objective to evaluate the clinical value of rigid ureteroscopy combined with soft sheath and soft endoscopy in the treatment of upper ureteral calculi. Methods from November 2014 to August 2016, 110 patients with upper and middle ureteral calculi were analyzed retrospectively. The patients in the treatment group were treated with ureteral hard endoscopy through soft ensheathing lithotripsy, then ureteral soft endoscope was used for lithotripsy through soft sheath lithotripsy. The control group (110 cases) was treated with traditional soft endoscope and treated with soft lens sheath lithotripsy. There was no difference in age, sex, stone size and location between the two groups (P0.05). The operation time, stone treatment time, hospital stay, postoperative complications and recurrence were compared between the two groups. Results the effective rate of the treatment group was 90.0%, which was higher than that of the control group (87.3%), but the difference was not statistically significant (P0.05). However, there was no significant difference between the two groups in the duration of hospitalization and the incidence of complications (P0.05). Conclusion the use of rigid ureteroscopy combined with soft endoscopy and soft lens sheath is more effective than traditional soft lens lithotripsy, and can prolong the service life of soft endoscopy, which is worth popularizing in clinic.
【作者單位】： 中南大學(xué)湘雅二醫(yī)院泌尿外科;湖南省長沙市中心醫(yī)院泌尿外科;
【分類號】：R699.4
[Abstract]:Objective to evaluate the clinical value of rigid ureteroscopy combined with soft sheath and soft endoscopy in the treatment of upper ureteral calculi. Methods from November 2014 to August 2016, 110 patients with upper and middle ureteral calculi were analyzed retrospectively. The patients in the treatment group were treated with ureteral hard endoscopy through soft ensheathing lithotripsy, then ureteral soft endoscope was used for lithotripsy through soft sheath lithotripsy. The control group (110 cases) was treated with traditional soft endoscope and treated with soft lens sheath lithotripsy. There was no difference in age, sex, stone size and location between the two groups (P0.05). The operation time, stone treatment time, hospital stay, postoperative complications and recurrence were compared between the two groups. Results the effective rate of the treatment group was 90.0%, which was higher than that of the control group (87.3%), but the difference was not statistically significant (P0.05). However, there was no significant difference between the two groups in the duration of hospitalization and the incidence of complications (P0.05). Conclusion the use of rigid ureteroscopy combined with soft endoscopy and soft lens sheath is more effective than traditional soft lens lithotripsy, and can prolong the service life of soft endoscopy, which is worth popularizing in clinic.
【作者單位】： 中南大學(xué)湘雅二醫(yī)院泌尿外科;湖南省長沙市中心醫(yī)院泌尿外科;
【分類號】：R699.4
【參考文獻(xiàn)】
相關(guān)期刊論文 前2條
1 韓慶杰;吳萬瑞;李遠(yuǎn)偉;;腎結(jié)石微創(chuàng)技術(shù)治療進(jìn)展[J];國際泌尿系統(tǒng)雜志;2015年03期
2 劉定益;王健;唐崎;周燕峰;俞家順;李文敏;張烙，
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