术前预置D-J管对输尿管软镜碎石术效果的影响  

Impact of preoperative ureteral stenting on outcome of flexible ureteroscopic lithotripsy

作　　者：邓青富[1] 朱永生[1] 裴利军[1] 姜睿[1] 

机构地区：[1]泸州医学院附属医院泌尿外科,四川泸州646000

出　　处：《重庆医学》2015年第32期4502-4503,4506,共3页Chongqing medicine

基　　金：国家自然科学基金面上项目(81070486)

摘　　要：目的分析输尿管软镜碎石术前预置不同时间的D-J管对手术效果影响。方法回顾分析52例该科输尿管软镜碎石术的临床资料。分为术前未置支架组（A组）,术前留置支架3-10d组（B组）,术前留置支架2周或以上组（C组）,分析在输尿管软镜鞘应用、手术时间、结石清除率、住院时间、并发症上的差异。结果 A、B、C组在年龄、性别、结石分布、大小、术后平均住院时间、并发症上差异无统计学意义（P〉0.05）。在放置14F输尿管软镜鞘的比例、平均手术时间、结石清除率上,A组与B、C差异有统计学意义（P〈0.05）,B、C组间差异无统计学意义（P〉0.05）。结论术前留置D-J管能提高输尿管软镜鞘的置入成功率,缩短手术时间,提高结石清除率。术前留置D-J管3-10d与留置2周及以上具有相同的手术效果。Objective To assess the impact of preoperative ureteral stenting on outcome of flexible ureteroscopic lithotripsy.Methods The clinic data of flexible ureteroscope lithotripsy were analyzed retrospectively.All 52 eligible patients were divided into three group：goup A（no preoperative ureteral stenting）;group B（preoperative ureteral stenting for 3-10days）;group C（preoperative ureteral stenting for two weeks or more）.The application of ureteral access sheath,operation time,stone free rates,hospital stays,complications were compared among the three groups.Results There were no significant differences in aging,gender,stone size,distribution,average hospitalization days,postoperative complications among the three groups（P〈0.05）.There were significantly differences between group A and group B,group C（P〈0.05）,and there were no difference between group B and group C（P〈0.05）on the success rate of indwelling ureteral access sheath,average operation time,stone free rate.Conclusion Preoperative ureteral stenting could enhance the success rate of indwelling ureteral access sheath,shorten the operation time,improve the stone free rate.There was similar outcome of flexible ureteroscopic lithotripsy between preoperative ureteral stenting for 3-10 days and two weeks or more.

关 键 词：肾结石 输尿管结石 D-J管 输尿管软镜碎石术 

分 类 号：R699.4[医药卫生—泌尿科学]