N-Trap拦截网篮或封堵器和无封堵装置应用于输尿管上段结石手术的效果比较  

Comparison of the effect of intercepting basket or occluder and non - occluder in the operation of upper ureteral calculi

作　　者：屈维龙[1] 汪益民[1] 尤志新[1] Qu Weilong,Wang Yimin,You Zhixin.(Department of Urology, the Second People＇s Hospital of Kunshah City, Kunshan 215300, China)

机构地区：[1]昆山昆山市第二人民医院泌尿外科,江苏215300

出　　处：《国际泌尿系统杂志》2018年第5期708-711,共4页International Journal of Urology and Nephrology

摘　　要：目的 研究分析拦截网篮或封堵器和无封堵装置应用于输尿管上段结石手术中的效果比较.方法 选择2015年2月至2017年2月在本院收治输尿管上段结石患者90例,按数字随机表分为对照组、封堵器组和网篮组,各30例.对照组不采用封堵装置,封堵器组采用N-Trap拦截网,网篮组采用英诺伟封堵器.对比三组清石率、一次性碎石成功率、结石上移率、并发症发生率、手术时间、术后住院时间情况.结果 封堵器组和网篮组清石率、一次性碎石成功率均高于对照组,差异有统计学意义（P＜0.05）;网篮组清石率、一次性碎石成功率略高于封堵器组,差异无统计学意义（P＞0.05）.封堵器组和网篮组结石上移率、并发症发生率均低于对照组,差异有统计学意义（P＜0.05）;网篮组结石上移率、并发症发生率略低于封堵器组,差异无统计学意义（P＞0.05）.封堵器组和网篮组手术时间、术后住院时间均短于对照组,差异有统计学意义（P＜0.05）;网篮组手术时间、术后住院时间与封堵器组比较,差异无统计学意义（P＞0.05）.结论 拦截网篮或封堵器应用于输尿管镜下钬激光碎石治疗输尿管上段结石手术中效果显著,均能够有效提高清石率和一次性碎石成功率,减少结石上移和并发症发生,促进患者早日康复,临床可根据患者实际情况选择装置. Objective To study the effect of intercepting basket or occluder and non-occlusion device in the operation of upper ureteral calculi.Methods A total of 90 patients underwent ureteral calculi from February 2015 to February 2017 were randomly divided into control group,occludergroup and basket group.The control group did not use the blocking device,the occluder group using N -Trap intercept network,the basket group using the British Connaught occluder.Comparison of the three groups of stone clearance rate,the success rate of disposable gravel,stone uptake rate,the incidence of complications,operation time,postoperative hospital stay was performed.Results The success rate of the lithotripsy rate and the disposable gravel were significantly higher in the occluder group and the basket group than in the control group,the difference was statistically significant （P 〈 0.05）.The net basket rate and the success rate of the disposable gravel were higher than occluder group,the difference was not statistically significant （P 〉 0.05）.The incidence of complications and the incidence of complications were slightly lower than those of the control group （P 〈 0.05）.The incidence of complications and the rate of stone migration were lower than those of the control group.There was no significant difference between the two groups （P 〉 0.05）.The time of operation and the time of hospitalization were shorter than those of the control group,the difference was statistically significant （P 〈 0.05）.There was no significant difference between the operation time and the hospitalization time and the occluder group （P 〉 0.05）.Conclusions Interventional basket or occluder is effective in the treatment of upper ureteral calculi with ureteroscopic holmium laser lithotripsy,which can effectively improve the rate of stone and the success rate of disposable crushed stone,reduce the occurrence of calculus and complication,promote the early rehabilitation of patients,clinical patients can choose according to t

关 键 词：输尿管结石 输尿管镜检查 

分 类 号：R699.4[医药卫生—泌尿科学]