输尿管软镜术前留置双J管的疗效观察  

Efficacy of preoperative Double-J ureteral stenting in flexible ureteroscope holmium laser lithotripsy

作　　者：郝宗耀[1] 刘明[1] 梁朝朝[1] 叶元平[1] 张贤生[1] 施浩强[1] 周骏[1] 张翼飞[1] 樊松[1] 王克孝[1] 

机构地区：[1]安徽医科大学第一附属医院泌尿外科,安徽医科大学泌尿外科研究所,合肥230022

出　　处：《安徽医科大学学报》2016年第3期460-462,共3页Acta Universitatis Medicinalis Anhui

基　　金：国家临床重点专科建设项目(编号:2012);安徽省自然科学基金(编号:1508085MH177)

摘　　要：回顾性分析术前留置双J管对输尿管软镜钬激光碎石术手术效果的影响。137例手术患者中84例术前常规留置双J管2周,53例未留置双J管行一期手术。所有患者均顺利完成手术,两组的手术时间、结石寻及率、碎石时间、一次碎石成功率、术后住院时间、并发症发生率等指标差异均无统计学意义,可见术前留置双J管与否对于输尿管软镜钬激光碎石术效果影响不大。对于手术中发现输尿管口狭小及输尿管狭窄的患者,仍然建议通过留置双J管被动扩张增加手术成功率,以提高输尿管软镜碎石术的高效性和有效性。We analyzed the efficacy of preoperative Double-J ureteral stenting in flexible ureteroscope holmium laser lithotripsy. 137 cases were divided into stenting group （84 cases） and no stenting group （53 cases）. All patients were successfully operated. The two groups showed no significant difference among the operative time, the stone detection rate, gravel time, the stone free rate , the incidence rate , etc. Preoperative Double-J ureteral stent- ing was not very necessary before retrograde intrarenal surgery. However, placing Double-J stenting before surgery can make the surgery more successful for the patients with narrow ureterostoma or narrow ureter.

关 键 词：上尿路结石 双J管 输尿管软镜技术 

分 类 号：R692.4[医药卫生—泌尿科学]