输尿管软镜联合倒置排石床治疗肾下盏结石的临床研究  

Clinical research on treatment of lower pole renal stone by combination of flexible ureteroscopy and inversion table

作　　者：崔磊[1] 王少刚[1] 何登[1] 卢宇超[1] 胡恒龙[1] 秦保龙[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院泌尿外科,武汉430030

出　　处：《微创泌尿外科杂志》2014年第6期360-363,共4页Journal of Minimally Invasive Urology

基　　金：华中科技大学同济医学院附属同济医院科研基金资助项目(2201101937)

摘　　要：目的:探讨输尿管软镜联合倒置排石床治疗肾下盏结石的疗效。方法:收治72例单侧肾下盏结石患者,随机分为实验组(输尿管软镜联合倒置排石床治疗组)和对照组(输尿管软镜治疗组)。实验组患者接受输尿管软镜碎石术1个月后拔除输尿管支架管,接受排石床治疗;对照组患者接受输尿管软镜碎石术1个月后拔除输尿管支架管,并嘱患者每日饮水2 000ml。所有患者均在拔除输尿管支架管1个月后行腹部平片复查,检查是否有结石残留。结果:所有患者顺利完成治疗。实验组与对照组患者相比,在年龄、性别、BMI、结石大小及肾内相关解剖学参数等一般情况上均差异无统计学意义。实验组患者共39例,在接受输尿管软镜联合倒置排石床治疗后,38例患者结石完全清除,结石清除率达到97.4%。对照组33例患者中,27例患者结石清除,结石清除率为81.8%,与实验组相比差异有统计学意义。结论:输尿管软镜联合倒置排石床治疗肾下盏结石具有良好的效果和安全性,此方案值得在临床上继续尝试,并加以推广。Objective:To explore the curative effectiveness of the combination of flexible ureteroscopy and inversion table in the treatment of lower pole renal stone.Methods:Seventy-two patients with unilateral lower pole renal stone were randomly divided into experimental group(combination of flexible ureteroscopy and inversion table treatment group)and control group(flexible ureteroscopy treatment group).For the patients in the experimental group,double-J stent was removed one month after they underwent the operation of flexible ureteroscopic lithotripsy and received the treatment of inversion table.The patients in the control group,double-J stent wasd also removed one month after they underwent the flexible ureteroscopic lithotripsy and drunk 2 000 mL water per day.All the patients were subjected to KUB examination one month after the double-J stent was removed to check out the residual stone fragments.Results:All the patients received well treatment.By the comparison of the patients in experimental and control groups,no statistically significant differences were found in clinical parameters such as age,gender,BMI,size of stone and the intrarenal anatomy.In experimental group,stones in 38 cases out of 39 cases were completely removed with the removing rate reaching 97.4%.In the control group,stones in 27 cases out of 33 cases were completely removed with the rate being 818%(P<0.05).Conclusions:The combination of flexible ureteroscopy and inversion table treatment is a safe and effective way in treating the lower pole renal stone.Therefore,this method is worth continuing to promote and carry out in clinical practice.

关 键 词：输尿管软镜 倒置排石床 肾下盏结石 

分 类 号：R699[医药卫生—泌尿科学]