输尿管镜碎石术治疗输尿管结石疗效的相关因素分析  

Analysis of the factors related to the curative effect of ureteroscopic lithotripsy in the treatment of ureteral calculi

作　　者：张景军[1] 李刚[2] ZHANG Jingjun;LI Gang(Department of Urinary Surgery, Tianjin Fifth Central Hospital, Tianjin 300450, China;Department of Urinary Surgery, Second Hospital of Tianjin Medical University, Tianjin 300450, China)

机构地区：[1]天津市第五中心医院泌尿外科,天津300450 [2]天津医科大学第二医院泌尿外科,天津300450

出　　处：《上海医药》2018年第9期30-31,76,共3页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的 :分析与输尿管镜碎石治疗输尿管结石疗效相关的影响因素。方法 :收集行输尿管镜碎石术治疗的输尿管结石患者169例,根据术后1周X线腹部平片复查结果,分为碎石成功组138例和碎石失败组31例。比较两组患者在年龄、性别、病程、结石大小、位置、有无结石嵌顿、是否合并尿路感染、尿路梗阻、碎石方法等方面的差异。结果:两组在性别、病程、结石嵌顿、碎石方法等方面差异均有统计学意义(P<0.05);多因素logistic回归分析显示,结石嵌顿、碎石方法是输尿管镜碎石术治疗输尿管结石疗效的独立影响因素。结论 :钬激光碎石成功率和安全性均较高,可作为输尿管结石推荐选择的方式。Objective： To explore the related factors and clinical efects of ureteroscopic lithotripsy （URL） for ureteral calculi. Methods： One hundred and sixty-nine cases of patients with ureteral calculi underwent URL were selected and divided into a success group （n=138） and a failure group （n=31） based on the results of X-ray examination one week after operation. The diferences of age, sex, courses, stone size and location, urinary tract infection, urinary tract obstruction and methods for calculi break were compared between the two groups. Results： There were signifcant diferences between the two groups in sex, courses, incarcerated gallstones and methods for calculi break （P〈0.05）. Multiple logistic aggression analysis showed that incarcerated gallstones and methods for calculi break were the related independent factors affecting ureteroscopic lithotripsy for ureteral calculi. Conclusion： The success rate and safety of holmium laser lithotripsy are high, which can be used as the recommended choice for ureteral calculi.

关 键 词：输尿管镜碎石术 输尿管结石 疗效 相关因素 

分 类 号：R693.4[医药卫生—泌尿科学]