输尿管镜下气压弹道碎石术治疗小儿尿道结石的临床效果  

Clinical Effect of Air Pressure Ballistic Lithotripsy under Ureteroscope in Children with Urethral Calculi

作　　者：刘坤[1] 李娟[2] LIU Kun;LI Juan(Department of Pediatric Surgery,the First People's Hospital of Qujing City,Qujing,Yunnan Province,655000 China;Department of Nephrology,the First People's Hospital of Qujing City,Qujing,Yunnan Province,655000 China)

机构地区：[1]云南省曲靖市第一人民医院儿外科,云南曲靖655000 [2]云南省曲靖市第一人民医院肾内科,云南曲靖655000

出　　处：《中外医疗》2020年第17期100-102,共3页China & Foreign Medical Treatment

摘　　要：目的分析治疗小儿尿道结石采用输尿管镜下气压弹道碎石术的临床效果。方法方便选取该院于2017年1月—2018年1月期间进行治疗的尿道结石患儿80例,以抽签法的形式将其分为研究组和对照组,各40例。对照组行皮刺穿取结石手术,研究组行输尿管镜下气压弹道碎石术,对比两组患儿的治疗效果,尿流率以及残留的尿量、一次碎石成功概率、结石的复发概率、总并发率、手术失血量以及住院时间。结果研究组总有效率87.50%高于对照组57.50%,组间差异有统计学意义(χ^2=9.028,P=0.003);研究组的尿流率为(19.7±3.0)mL/s高于对照组的(16.5±2.7)mL/s,组间差异有统计学意义(t=5.014,P=0.000);研究组一次碎石成功概率97.50%高于对照组85.00%,差异有统计学意义(χ^2=3.914,P=0.048);研究组残留的尿量、手术中的失血量、住院时间分别为(6.0±1.0)mL、(21.5±4.3)mL、(5.4±1.2)d低于对照组的(7.5±1.3)mL、(42.7±7.8)mL、(9.2±1.7)d组间差异有统计学意义(t=5.784、15.0540、11.55,P=0.0001、0.000、0.000);研究组结石的复发概率5.00%、总并发率7.50%均比对照组20.00%、25.00%,组间差异有统计学意义(χ^2=4.114、4.501,P=0.042、0.034)。结论对于小儿尿道结石进行输尿管镜下气压弹道碎石术,可以提高患儿的治疗效果以及一次碎石成功概率,减少手术出现的复发概率、结石复发概率等,值得在临床上推广和应用。Objective To analyze the clinical effect of ureteroscope pneumatic ballistic lithotripsy for the treatment of pediatric urethral calculi.Methods Eighty children with urethral calculi who were treated in our hospital from January 2017 to January 2018 were convenient selection selected and divided into a research group and a control group by lottery,each with 40 cases.The control group underwent skin puncture and stone removal surgery,and the study group underwent ureteroscope pneumatic ballistic lithotripsy,comparing the treatment effect of the two groups of children,urinary flow rate and residual urine volume,the probability of success of one-time lithotripsy,the recurrence probability of stones,overall complication rate,blood loss during surgery,and length of hospital stay.Results The total effective rate of the study group was 87.50% higher than that of the control group 57.50%,there were differences between the groups(χ^2=9.028,P=0.003);the urine flow rate of the study group was(19.7±3.0)mL/s higher than that of the control group(16.5±2.7)mL/s,there was a difference between the groups(t=5.014,P=0.000);the success rate of stone crushing in the study group was 97.50% higher than the control group 85.00%,the difference was statistically significant(χ^2=3.914,P=0.048);the residual urine volume,blood loss during surgery and hospital stay in the study group were(6.0±1.0)mL,(21.5±4.3)mL,(5.4±1.2)d lower than those in the control group(7.5±1.3)mL,(42.7±7.8)mL,(9.2±1.7)d.The difference was statistically significant(t=5.784,15.054,11.550,P=0.000,0.000,0.000);The recurrence probability of stones in the study group 5.00%and the total concurrent rate of 7.50% were 20.00% and 25.00% compared with the control group,the difference was statistically significant between the groups(χ^2=4.114,4.501,P=0.042,0.034).Conclusion Urethroscopic pneumatic lithotripsy for children with urethral calculi can improve the treatment effect of children and the probability of success of lithotripsy in one time,reduce the probability o

关 键 词：输尿管镜下 气压弹道碎石术 小儿 尿道结石 临床效果 

分 类 号：R699[医药卫生—泌尿科学]