体外物理振动排石辅助输尿管软镜治疗肾下盏结石的疗效分析  

Efficacy analysis of external physical vibration lithecbole assisted ureteroscopy in treatment of lower calyceal calculi

作　　者：汪宁 王荣江 严家凯 陈煜 Ning Wang;Rong-jiang Wang;Jia-kai Yan;Yu Chen(Department of Urology,the First Affiliated Hospital of Huzhou Teachers College,Huzhou,Zhejiang 313000,China)

机构地区：[1]湖州师范学院附属第一医院泌尿外科,浙江湖州313000

出　　处：《中国内镜杂志》2023年第1期25-28,共4页China Journal of Endoscopy

基　　金：浙江省基金-青山湖科技城联合基金(No:LQY19H050001)。

摘　　要：目的 探讨体外物理振动排石辅助输尿管软镜治疗肾下盏结石的疗效。方法 选取184例肾下盏结石患者作为研究对象,112例输尿管软镜联合体外物理振动排石患者作为观察组,72例输尿管软镜后自然排石患者作为对照组。比较两组患者排石情况。结果 两组患者排石过程均未出现严重并发症。观察组手术当天结石排出率明显高于对照组,观察组术后1、2和4周结石排净率均明显高于对照组,两组患者比较,差异有统计学意义(P <0.01)。结论 体外物理振动排石辅助输尿管软镜治疗肾下盏结石,可明显增加结石排出率,缩短结石排净时间,且安全性高,疗效满意。Objective To investigate the efficacy of external physical vibration lithecbole assisted ureteroscopy in treatment of lower calyceal calculi. Methods 184 patients with lower calyceal calculi were selected as subjects. Among them, 112 patients underwent ureteroscopy combined with external physical vibration lithecbole were considered as observation group, while other 72 patients underwent ureteroscopy combined with natural calculi removal were considered as control group. Results There were no serious complications in the process of calculi removal in both groups. The calculi removal rate of observation group was significantly higher on the day of operation than that of the control group, and the calculi clearance rate of observation group was all higher than that of control group at 1, 2 and 4 weeks after operation, and there was significant difference between the two groups(P < 0.01). Conclusion In vitro, external physical vibration lithecbole assisted ureteroscopy in treatment of lower calyceal calculi can significantly increase the calculi clearance rate and shorten the duration of calculi clearance,with high safety and satisfactory efficacy.

关 键 词：体外物理振动排石 输尿管软镜 肾下盏结石 疗效分析 排石率 

分 类 号：R692.4[医药卫生—泌尿科学]