“斑马”一次性输尿管软镜治疗直径≤2 cm上尿路结石的疗效及安全性观察  

Efficacy and safety of Zebra ScopeTM single-use flexible ureteroscope for the treatment of upper urinary tract calculi≤2 cm

作　　者：王顺 梁想易 陈小龙 田源 陈琨[4] 王庆 张伟[2] 谭龙泉 江克华 孙发 WANG Shun;LIANG Xiangyi;CHEN Xiaolong;TIAN Yuan;CHEN Kun;WANG Qing;ZHANG Wei;TAN Longquan;JIANG Kehua;SUN Fa(Graduate School,Zunyi Medical University,Zunyi 563006,China;不详)

机构地区：[1]遵义医科大学研究生院,贵州遵义563006 [2]贵州省人民医院泌尿外科 [3]贵州医科大学附属医院泌尿外科 [4]贵州省人民医院中心实验室 [5]盘州市人民医院泌尿外科

出　　处：《山东医药》2022年第21期34-37,共4页Shandong Medical Journal

基　　金：国家自然科学基金资助项目(82060136);贵州省科学技术基金[黔科合支撑(2020)4Y142号]。

摘　　要：目的观察“斑马”一次性输尿管软镜治疗直径≤2 cm上尿路结石的疗效及安全性。方法结石直径≤2 cm的上尿路结石患者135例,均使用ZebraScope^(TM)“斑马”一次性输尿管软镜进行输尿管软镜碎石术治疗,观察患者的术后24 h结石清除率以及术后1个月结石清除率、围术期指标、术后并发症发生情况。结果135例患者均顺利完成手术,患者术后24 h结石清除率为58.65%,术后1个月结石清除率为78.46%,手术时间(70.55±38.41)min,术中出血量(4.30±2.84)mL,导尿管留置时间(1.55±0.63)d,双J管留置时间(32.84±12.11)d,住院时间(3.76±2.45)d。6例患者出现术后并发症,术后并发症发生率为4.44%,包括为剧烈腹痛1例、发热2例、尿源性脓毒血症1例、腹痛1例、膀胱刺激征1例。1例剧烈腹痛患者,术后经膀胱镜重新调整双J管位置后好转,其余并发症均通过保守治疗后好转。结论ZebraScope^(TM)“斑马”一次性输尿管软镜治疗直径≤2 cm上尿路结石的结石清除率较高,疗效较好,且并发症和术中出血量少,安全性较高。Objective To observe the efficacy and safety of single-use flexible ureteroscope from ZebraScope(FURS) for the treatment of upper urinary tract calculi≤2 cm.Methods Totally 135 patients with upper urinary tract calculi who received surgery were enrolled and reviewed.We evaluated and analyzed the stone-free rate(SFR) at 24 h and1 m after surgery,and perioperative data and postoperative complications at 1 m after surgery.Results All 135 patients successfully completed the operation.The SFR was 58.65% after 24 h,and it rose to 78.46% at 1 month later.The average operation time was(77.55±38.41) min,and the average blood loss was(4.30±2.84) mL.The catheter retention time was(1.55±0.63) d and the double-J tube retention time was(32.84±12.11) d.The length of hospital stay was(3.76±2.45) d.The overall complication rate was 4.44%.Only one patient adjusted the double J tube position under cystoscopy as inappropriate location of double J tube.All other complications could be cured by conservative treatments.Conclusion FURS used for the treatment of upper urinary tract calculi ≤ 2 cm is effective and safe,with higher stonefree rate,less complications and blood loss.

关 键 词：一次性输尿管软镜 上尿路结石 输尿管软镜 结石清除率 

分 类 号：R691.4[医药卫生—泌尿科学]