输尿管硬镜联合拦截网篮治疗输尿管上段结石的临床研究  

Clinical Study of Ureteroscopic Combined with Interception Network in Treatment of Upper Ureteral Calculi

作　　者：程树林[1] 杨雪松[1] 廖波[1] 余晓东[1] 李建勇[1] Cheng Shulin Yang Xuesong Liao Bo et al(Affiliated Hospital of Chuanbei Medical College, Nanchong, Sichuan 637000, Chin)

机构地区：[1]川北医学院附属医院泌尿外科,四川南充637000

出　　处：《四川医学》2017年第4期436-438,共3页Sichuan Medical Journal

摘　　要：目的探讨输尿管硬镜联合拦截网篮治疗输尿管上段结石的有效性和安全性。方法 2012年至2015年在我院治疗的输尿管上段结石患者中,43例患者单独采用输尿管硬镜,输尿管硬镜联合使用拦截网65例,比较两组患者一次性碎石成功率、手术时间和手术并发症的发生率。结果单独使用输尿管硬镜的一次性碎石成功率为72.1%(31/43),联合使用拦截网的一次性碎石成功率为92.3%(60/65),差异有统计学意义(P<0.05),手术时间:输尿管硬镜组(43.5±10.2)min,联合使用拦截网组(52.3±13.4)min,差异有统计学意义(P<0.05)。手术并发症的发生率分别为7.0%和7.7%,差异无统计学意义(P>0.05)。结论拦截网篮对于输尿管上段结石的处理安全有效,大大提高了输尿管硬镜处理上段结石的成功率,临床应用价值高。Objective To investigate the effectiveness and safety of ureteroscopiccombined with interception network in treatment of upper ureteral calculi. Methods Inpatients with upper ureteral calculi treated in our hospital between 2012 and 2015,43 cases were treated with ureteroscopy only,ureteroscopy combined with the use of interception network in 65 cases. The success rate of one-time lithotripsy,operation time and incidenceof surgical complicationsof the two groups were compared. Results The success rate of one-time lithotripsy of using ureteroscopy only was 72. 1%（ 31/43）,and the success rate of one-time lithotripsy of combined use of interception network was 92. 3%（ 60/65）,and the difference was statistically significant（ P〈0. 05）. Operation time： Ureteral hard mirror group（ 43. 5±10. 2） min,combined with the interception network group（ 52. 3 ±13. 4） min,P〈0. 05. The incidence of complications was 7% and 7. 7%（ P〉0. 05）,respectively. Conclusion The interception network for handling of upper ureteral calculi is safe and effective,greatly improving the success rate of ureteroscopic treatment of upper ureteral calculi,and has high value of clinical application.

关 键 词：输尿管镜 钬激光 输尿管结石 N-trap拦截网 

分 类 号：R699.4[医药卫生—泌尿科学]