输尿管导管持续引流在输尿管镜下钬激光碎石中的应用  

Application of ureteral catheter(F4) in ureteroscopic holmium laser lithotripsy for ureteral stones

作　　者：吴仲平[1] 吴国定[1] 

机构地区：[1]江门市新会人民医院泌尿外科,广东江门529100

出　　处：《现代泌尿外科杂志》2018年第1期37-39,共3页Journal of Modern Urology

摘　　要：目的探讨利用输尿管镜内留置F4输尿管导管持续引流技术行输尿管镜钬激光碎石治疗输尿管结石的临床效果。方法回顾分析2016年2月至2017年2月,我院采用输尿管镜内留置顶端剪头的F4输尿管导管持续引流后,行输尿管结石钬激光碎石的25例患者(改良组)的临床资料。对比2015年6月到2016年1月我院无使用输尿管导管引流,行输尿管结石钬激光碎石的25例患者(对照组)临床资料,评价技术改良的优越性。结果改良组25例输尿管结石患者碎石时间缩短,无结石逃逸;单次手术结石粉碎率100%,2周内结石排净率100%。术中及术后无输尿管穿孔、高热、输尿管狭窄等并发症,对比对照组有明显优越性。结论采用输尿管镜内留置顶端剪头的F4输尿管导管持续引流后,行输尿管镜下钬激光碎石术可在清晰视野下连续碎石,结石粉末化成功率高,结石不易上移,疗效确切,安全、并发症少。ObjectiveTo investigate the clinical efficacy of ureteral catheter （F4） in ureteroscopic holmium laser lithotripsy for ureteral stones.MethodsThe clinical data of 25 patients with ureteral stones treated with holmium laser lithotripsy using ureteral catheter （F4） during Feb.2016 and Feb.2017 （modified group）,and another 25 patients treated with holmium laser lithotripsy without using ureteral catheter during Jun.2015 and Jan.2016 （control group） were compared.The clinical results of the two groups were evaluated.ResultsIn the modified group,the stone crushing rate was 100% by one operation,the stone clearance rate was 100% in 2 weeks.No ureteral perforation,high fever,ureteral stricture and other complications occurred during or after operation.Compared with the control group,the modified group had obvious advantages.ConclusionBy using ureteral catheter （F4） in holmium laser lithotripsy,we can get a clear field during operation and have high success rate to pulverize the stones.Besides,the stones do not easily move upward.Therefore,holmium laser lithotripsy using ureteral catheter （F4） is effective and safe in the treatment of ureteral stones.

关 键 词：输尿管导管 输尿管镜 结石 钬激光 

分 类 号：R693.4[医药卫生—泌尿科学]