输尿管镜气压弹道碎石在输尿管下段结石中的治疗应用  

Therapeutic use of URSL in treating lower ureteral calculi

作　　者：常全森[1] 李虎[1] 朱永士[1] 马楠[1] 孔德志[1] 

机构地区：[1]皖北煤电集团总医院泌尿外科,安徽宿州234011

出　　处：《安徽医药》2013年第12期2097-2098,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的观察输尿管镜下气压弹道碎石术(URSL)治疗输尿管下段结石的临床疗效,探讨影响其疗效的相关因素。方法回顾性分析在本院行URSL治疗的60例(62侧)以及行体外冲击碎石术(ESWL)治疗的60例(64侧)输尿管下段结石患者的临床资料,研究输尿管镜下气压弹道碎石术的临床疗效以及影响其疗效的相关因素。结果输尿管镜下气压弹道碎石术治疗输尿管下段结石的一次性碎石成功率为95.2%;多因素logistic回归分析显示:结石嵌顿(OR=3.01,95%CI=1.10-8.24)、输尿管狭窄(OR=2.78,95%CI=1.19-6.48)、操作经验<15例(OR=4.01,95%CI=1.10-14.71)是影响URSL疗效的独立危险因素(p<0.05)。结论采用输尿管镜下气压弹道碎石术治疗输尿管下段结石安全有效,可作为临床上治疗下段输尿管结石的有效方法。Objective To study the clinical effect of lower ureteral calculi treated by ureteroseopic lithotripsy （URSL） under sedoanalge- sia and the related influencing factors. Methods The clinical data of 60 cases of lower ureteral calculi treated by URSL and 60 cases of lower ureteral calculi treated by ESWL were analyzed retrospectively. Results 95.2% of the stones were fragmented on one session by URSL. Multivariate logistic regression analyses revealed that stone incarceration, ureteral stricture and lower operating experience were the independent risk factors for URSL. Conclusions URSL is effective and safe when used in patients with lower ureteral calculi.

关 键 词：输尿管镜 气压弹道碎石术 输尿管下段结石 

分 类 号：R699[医药卫生—泌尿科学]