封堵取石导管在经尿道输尿管镜激光碎石术中的临床应用分析  

Clinical analysis of block calculus extraction catheter in the ureteroscopic lasertripsy

作　　者：梁涛[1] 李作为[1] 李永辉[1] 叶绪晓[1] 田斌强[1] 傅强[1] 

机构地区：[1]上海交通大学附属第六人民医院泌尿外科,200233

出　　处：《中国医师进修杂志》2016年第8期715-717,共3页Chinese Journal of Postgraduates of Medicine

基　　金：浦东新区科技发展基金（PLJ2014-Y07）

摘　　要：目的：探讨应用封堵取石导管在经尿道输尿管镜激光碎石术中的临床治疗效果。方法选择输尿管结石患者230例，使用封堵取石导管96例（试验组），未用封堵取石导管134例（对照组）。两组均采用科医人PowerSuite60W钬激光手术系统碎石取石，比较两组治疗效果。结果试验组在手术时间和一次结石清除率方面显著优于对照组[（23.3±7.4）min比（35.6±11.1） min，98.92%（92/93）比88.89%（112/126）]，差异有统计学意义（P＜0.01）。两组术中出血量、术后发热率比较差异无统计学意义（P＞0.05）。结论封堵取石导管在经尿道输尿管镜激光碎石术中对缩短手术时间、降低结石逃逸及提高结石清除率非常有意义。Objective To evaluate the clinical effects of block calculus extraction catheter in the ureteroscopic lasertripsy. Methods Two hundred and thirty patients with ureter calculus were enrolled. Ninety-six patients were treated with block calculus extraction catheter （test group）, and 134 patients were treated without block calculus extraction catheter （control group）. The patients in 2 groups were treated with holmium laser ureteroscopic lithotripsy of Lumenis PowerSuite60W, and the treatment effectiveness was compared. Results The operation time and primary stone clearance rate in test group were significantly better than those in control group： （23.3 ± 7.4） min vs. （35.6 ± 11.1） min, 98.92%（92/93） vs. 88.89%（112/126）, and there were significantly differences （P〈0.01）. The bleeding amounts and fever rate of 2 groups had no significant difference （P 〈 0.05）. Conclusions The block calculus extraction catheter is very useful and safe in preventing the calculus shift, shortening the operation time and improving the calculus elimination rate .

关 键 词：输尿管结石 碎石术 激光 封堵取石导管 

分 类 号：R699[医药卫生—泌尿科学]