螺旋状套石篮辅助输尿管软镜钬激光碎石术治疗单侧直径大于1厘米输尿管上段结石临床研究  

Clinical study of spiral stone basket assisted with FURL in treatment of unilateral upper ureteral stones for diameter >1.0 cm

作　　者：周益军[1] 朱喜山[1] 戴晓农[1] 张正林[1] 王科锋[1] 

机构地区：[1]江苏省常州市第三人民医院泌尿外科,江苏常州213000

出　　处：《中国内镜杂志》2017年第1期61-64,共4页China Journal of Endoscopy

摘　　要：目的探讨螺旋状套石篮辅助输尿管软镜钬激光碎石术(FURL)治疗单侧直径>1.0 cm输尿管上段结石临床疗效及安全性。方法研究对象选取该院2012年1月-2015年12月收治的单侧直径>1.0 cm输尿管上段结石患者共140例,以随机抽签法分为对照组(70例)和观察组(70例),分别采用FURL术单用和在此基础上加用螺旋状套石篮辅助治疗;比较两组患者围手术期临床指标、碎石成功率、结石清除率、结石上移率及术后并发症发生率等。结果观察组患者手术时间明显长于对照组,差异具有统计学意义(P<0.05);两组患者术中出血量和住院时间比较差异无统计学意义(P>0.05);观察组患者碎石成功率和结石清除率均明显高于对照组,差异具有统计学意义(P<0.05);观察组患者结石上移率明显低于对照组,差异具有统计学意义(P<0.05);同时两组患者术后并发症发生率比较差异无统计学意义(P>0.05)。结论螺旋状套石篮辅助FURL术治疗单侧直径>1.0 cm输尿管上段结石可有效提高结石清除效果,降低结石上移风险,且未增加术后并发症发生概率。Objective To investigate the clinical effects and safety of spiral stone basket assisted with FURL in the treatment of unilateral upper ureteral stones for diameter 〉1.0 cm. Methods 140 patients with unilateral upper ureteral stones for diameter 〉1.0 cm from January 2012 to December 2015 were randomly divided into control group （70 patients） with FURL used alone and observation group （70 patients） with spiral stone basket assisted application on the basis of control group; the perioperative clinical indicators, the lithotripsy success rate, the stone clearance rate, the stone removal rate and the postoperative complication incidence of both groups were compared. Results The operation time of observation group was significantly longer than control group （P 〈 0.05）. There was no significant difference in the blood loss volume in operation and hospitalization time between 2 groups （P 〉 0.05）. The lithotripsy success rate and the stone clearance rate of observation group was significantly higher than control group （P 〈 0.05）. The stone removal rate of observation group was significantly lower than control group （P 〈 0.05）. The postoperative complication incidence of observation group was no difference between 2 groups （P 〉 0.05）. The total treatment expenses of observation group was significantly fewer than control group （P 〈 0.05）. Conclusion Spiral stone basket assisted with FURL in the treatment of unilateral upper ureteral stones for diameter 〉1.0 cm can efficiently higher the stone removal effects, reduce the stone removal risk and not increase the postoperative complications incidence.

关 键 词：套石篮 输尿管软镜钬激光碎石术 输尿管上段结石 疗效 安全性 

分 类 号：R693.4[医药卫生—泌尿科学]