复杂输尿管镜手术应对策略研究探讨  

Study on the strategies of complex ureteroscopic surgery

作　　者：徐峰[1] 李晓欣[2] 孙文学[1] 叶雄俊[3] 熊六林[3] Xu Feng;Li Xuuixin;Sun Wenxiie;Ye Xiongjun;Xiong Liulin(Department of Urology. Changping District Hospital, Beijing 102200,China;Department of Dermatology, Air Force General Hosptial, Beijing 100142,China;Department of Urology , Peking University People's Hospital, Beijing 100044,China)

机构地区：[1]北京市昌平区医院泌尿外科,102200 [2]空军总医院皮肤科,北京100142 [3]北京大学人民医院泌尿外科,100044

出　　处：《国际泌尿系统杂志》2019年第5期841-843,共3页International Journal of Urology and Nephrology

摘　　要：目的研究复杂输尿管镜手术(URS)应对策略。方法回顾性分析2015年10月至2017年9月完成输尿管镜手术的67例患者,分析比较A方法(普通器械组,单纯尿管镜+一根导丝)和B方法(多器械联合组,在A基础上继续使用两根导丝、细镜、封堵器等)在复杂输尿管镜手术中一期成功率、手术时间,清石率方面的差异。结果B方法与A方法相比,一期成功率、手术时间差异有统计学意义(P<0.05)。两组清石率差异无统计学意义(P>0.05)。结论B方法(多器械联合方式)在复杂输尿管镜手术过程中能够提升URS—期成功率、缩短手术时间。Objective To study strategies of complex ureteroscopic surgery. Methods A retrospective analysis of 67 patients undergoing ureteroscopic surgery from October 2015 to Septem ber 2017 was made. Methods A ( common instrument group, ureteroscope with one guide w ire) and B ( multiple instruments combined group, which is method A with two guide w ires, fine ureteroscope, blockage and so on) were analyzed and compared. The success ra te , operation time and lithotomy rate of two methods in complicated ureteroscope surgery were compared. Results Method B compared with A , the primary success rate and operation time were different( P < 0 . 0 5 ), but there was no difference in stone removal rate ( P > 0. 05 ). Conclusions Method B can improve the primary success rate of URS during the operation of complex ureteroscopy and shorten the operation time.

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]