改良体位钬激光碎石联合套石篮对复杂性输尿管上段结石的疗效分析  

Efficacy of modified holmium laser lithotripsy combined with stone basket for complex upper ureteral calculi

作　　者：吉春冬 王健宇 刘凯 Ji Chundong;Wang Jianyu;Liu Kai(Department of Urology,Panzhihua Hospital of Integrated Traditional and Western Medicine,Sichuan 617000,China)

机构地区：[1]攀枝花市中西医结合医院泌尿外科,四川617000

出　　处：《中华腔镜泌尿外科杂志（电子版）》2022年第1期60-63,共4页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的分析改良体位钬激光碎石联合套石篮对复杂性输尿管上段结石的疗效。方法将110例复杂性输尿管上段结石患者按随机数字表分为常规组与改良组,各55例,其中常规组接受常规钬激光碎石联合套石篮治疗,改良组接受改良体位钬激光碎石联合套石篮治疗,改良方法:取改良的特伦德伦伯格(Trendelenburg)体位,并旁置输尿管导管持续注水。对比两组的临床资料。结果改良组单次碎石成功率为100.00%,明显高于常规组的88.68%(P<0.05),2组总碎石成功率、结石清除率均相近(P>0.05);改良组碎石时间和总手术时间均短于常规组(P<0.05),改良组总住院费用少于常规组(P<0.05);改良组尿路感染、总并发症发生率、复发率分别为0.00%、1.89%、0.00%,均低于常规组的11.32%、18.87%、13.21%(均P<0.05)。结论对复杂性输尿管上段结石采用改良体位钬激光碎石联合套石篮可提高手术效果,减少总住院费用。Objective To analyze the effect of modified holmium laser lithotripsy combined with stone basket for complex upper ureteral calculi.Methods 110 patients with complex upper ureteral calculi were divided into routine group and modified group according to random number table,55 cases in each group.The routine group were treated with routine holmium laser lithotripsy combined with stone basket insertion,while the improved group was treated with modified holmium laser lithotripsy combined with stone basket.The improved method was to select the modified Trendelenburg position and place continuous water injection beside the ureteral catheter.The data were compared between the two groups.Results The success rate of single lithotripsy in the improved group was 100.00%,which was significantly higher than 88.68%in the routine group(P<0.05).The success rate and stone clearance rate of the two groups were similar(P>0.05).The lithotripsy time and total operation time in the improved group was shorter than those in the routine group(P<0.05),and the total hospitalization expenses in the improved group was less than that in the routine group(P<0.05).The incidence of urinary tract infection,total complications and recurrence in the improved group were 0.00%,1.89%and 0.00%respectively,which was lower than those of 11.32%,18.87%and 13.21%in the routine group(all P<0.05).Conclusion The improved holmium laser lithotripsy combined with lithotripsy basket is effective and economic for complex upper ureteral calculi.

关 键 词：钬激光 套石篮 输尿管结石 

分 类 号：R699.4[医药卫生—泌尿科学]