两种探针超声碎石术治疗复杂性上尿路结石的临床效果分析  

Clinical analysis of two kinds of probe ultrasonic lithotripsy in the treatment of complicated upper urinary calculi

作　　者：王珩[1] 王军起 黄永斌[1] 张海涛[1] 刘兆飞[1] 毛鹏飞 聂锐志 徐向军[1] Wang Heng;Wang Junqi;Huang Yongbin;Zhang Haitao;Liu Zhaofei;Mao Pengfei;Nie Ruizhi;Xu Xiangjun(Department of Urology,Lianyungang Hospital Affiliated to Nanjing University of Chinese Medicine,Jiangsu 222004,China;Department of Urology,Affiliated Hospital of Xuzhou Medical College,Jiangsu 221002,China)

机构地区：[1]南京中医药大学连云港附属医院泌尿外科,江苏222004 [2]徐州医科大学附属医院泌尿外科,江苏221002

出　　处：《中华腔镜泌尿外科杂志（电子版）》2020年第4期254-257,共4页Chinese Journal of Endourology(Electronic Edition)

基　　金：2017年连云港市卫生科研项目(201713)。

摘　　要：目的评估点触式探针经皮肾镜超声碎石术治疗复杂性上尿路结石的疗效与优势。方法回顾性分析复杂性上尿路结石患者行经皮肾镜超声碎石术的临床资料,点触式探针组及原平面超声探针组均为43例。观察两种探针的碎石效率,结石清除率和对尿路黏膜损伤及严重感染等并发症的发生率。结果点触式探针的碎石清石时间和速度明显优于原平面探针(P<0.01),碎石效率提高到2.74倍,结石清除率与平面探针组相比较差异有统计学意义(P<0.05)。平面探针组出现9例尿路黏膜吸附性损伤,且术后发生2例脓毒血症,点触式探针组未出现尿路黏膜吸附伤及脓毒血症。两相比较差异有统计学意义(P<0.01)。结论点触式探针经皮肾镜超声碎石术效率高,安全性好,值得临床推广应用。Objective To evaluate the efficacy and advantages of point touch probe percutaneous ultrasonic nephrolithotomy in the treatment of complicated upper urinary calculi.Method The clinical data of patients with complicated upper urinary calculi undergoing percutaneous ultrasonic nephrolithotomy were analyzed retrospectively.Both the point contact probe group and the original plane probe group had 43 cases.The lithotripsy efficiency of the two probes,the stone removal rate and the complications of urinary tract mucosal injury and serious sepsis were observed.Results The stone removal time and speed of point contact probe were significantly better than that of plane probe(P<0.01),the stone removal efficiency was increased to 2.74 times,and the stone removal rate was significantly different from that of the original plane probe group(P<0.05).In the original plane probe group,there were 9 cases of urinary tract mucosal injury and 2 cases of severe sepsis.In the observation group,there was no urinary tract mucosal injury in operation or severe sepsis after operation.The difference between the two groups were all significant(P<0.01).Conclusion The point contact probe percutaneous ultrasonic nephrolithotomy is efficient and safe.It is the preferred method for the treatment of complicated upper urinary calculi and is worthy of clinical application.

关 键 词：复杂性 上尿路结石 经皮肾镜 超声探针 点触式探针 

分 类 号：R699[医药卫生—泌尿科学]