逆行输尿镜肾内手术处理同侧有症状输尿管结石及无症状肾结石的可行性  

Feasibility of retrograde ureteroscopic surgery for ipsilateral symptomatic ureteral calculi and asymptomatic kidney stones

作　　者：赵国斌[1] 刘鑫 唐玉红[2] 苏宏伟[1] 唐立东 冯超 李朝阳 李向东[1] ZHAO Guobin;LIU Xin;TANG Yuhong;SU Hongwei;TANG Lidong;FENG Chao;LI Chaoyang;LI Xiangdong(Department of Urology,the First Affiliated Hospital of Hebei North University,Hebei Province,Zhangjiakou075000,China;College of Laboratory Medicine,Hebei North University,Hebei Province,Zhangjiakou075000,China;Department of Surgery,Chicheng County Hospital,Hebei Province,Chicheng075000,China)

机构地区：[1]河北北方学院附属第一医院泌尿外科,河北张家口075000 [2]河北北方学院检验学院,河北张家口075000 [3]河北省张家口市赤城县医院外科,河北赤城075000

出　　处：《中国医药导报》2019年第24期74-76,80,共4页China Medical Herald

基　　金：河北省重点研发计划自筹项目(172777182);河北省卫生计生委医学科学研究重点课题(20180839)

摘　　要：目的探讨逆行输尿镜肾内手术处理同侧有症状输尿管结石及无症状肾结石的可行性。方法回顾性分析河北北方学院附属第一医院2016年12月~2018年1月收治的有症状输尿管结石合并同侧无症状肾结石122例患者的临床资料,根据治疗方法将患者分成两组,A组(62例)同时处理有症状输尿管结石及无症状肾结石,B组(60例)单独处理输尿管结石。比较两组患者围术期和术后的临床特征。结果两组的平均结石负荷、平均住院时间和并发症发生率比较,差异无统计学意义(P>0.05);A组的平均手术时间、血红蛋白下降值均明显长于或高于B组(P<0.01);B组的辅助治疗率、再次手术率(平均随访期间>12个月)均明显高于A组,差异有高度统计学意义(P<0.01)。结论逆行输尿镜肾内手术同时处理同侧有症状输尿管结石和无症状肾结石是安全有效的,并未增加手术并发症。Objective To investigate the feasibility of retrograde ureteral calculi and asymptomatic renal calculi treated by intrarenal operation with ureteroscope.Methods Clinical data of 122 patients with symptomatic ureteral calculi combined with ipisional asymptomatic kidney stones admitted to the First Affiliated Hospital of Hebei North University from December 2016 to January 2018 was retrospectively analyzed.According to the treatment method,the patients were divided into two groups,group A(62 cases)dealt with symptomatic ureteral stones and asymptomatic kidney stones,and group B(60 cases)dealt with ureteral stones alone.The perioperative and postoperative clinical features of the two groups were compared.Results The mean stone load,mean length of stay and incidence of complications of the two groups were compared,and the differences were not statistically significant(P>0.05).The mean operation time and decrease data of hemoglobin in group A were significantly longer or higher than those in group B(P<0.01).The auxiliary treatment rate and reoperation rate of group B(mean follow-up period>12 months)were significantly higher than those of group A,with high statistically significant differences(P<0.01).Conclusion It is safe and effective to treat ipsilateral symptomatic ureteral calculi and asymptomatic renal calculi with retrograde ureteroscopy,without increasing surgical complications.

关 键 词：逆行输尿管镜肾内手术 有症状肾输尿管结石 无症状肾结石 

分 类 号：R693[医药卫生—泌尿科学]