一次性使用输尿管内窥镜下钬激光碎石术治疗复杂性上尿路结石的效果观察  

Effect of holmium laser lithotripsy under single-use ureteroscope in the treatment of complex upper urinary tract calculi

作　　者：李瑞宝 李碧君 黄海文[2] 黄长青[2] 林伟明 LI Rui-bao;LI Bi-jun;HUANG Hai-wen;HUANG Chang-qing;LIN Wei-ming(Department of Urology,the Second Affiliated Hospital of Guangdong Medical University,Zhanjiang 524003,China;Department of Urology,Central People’s Hospital of Zhanjiang,Zhanjiang 524045,China)

机构地区：[1]广东医科大学附属第二医院泌尿外科,广东湛江524003 [2]湛江中心人民医院泌尿外科,广东湛江524045

出　　处：《广东医科大学学报》2023年第5期551-553,共3页Journal of Guangdong Medical University

基　　金：湛江市科技计划项目(2021B01349)。

摘　　要：目的观察一次性使用输尿管内窥镜下钬激光碎石术(FURS)治疗复杂性上尿路结石的效果。方法148例复杂性上尿路结石患者,随机分为观察组(n=74)和对照组(n=74)。对照组行经皮肾镜碎石取石术(PCNL),观察组采用FURS治疗。比较两组患者的围术期相关指标、结石清除率、复发率以及术后并发症发生情况。结果观察组术后首次下床时间明显短于对照组(P<0.01),术后结石清除率高于对照组(P<0.01),复发率及术后总并发症发生率低于对照组(P<0.01或0.05)。结论一次性FURS术治疗复杂性上尿路结石患者,能够提高结石清除率,减少复发率,且术后恢复快。Objective To investigate the effect of holmium laser lithotripsy under single-use ureteroscope in the treatment of complex upper urinary tract calculi.Methods A total of 148 patients with complicated upper urinary tract calculi were selected and randomly divided into the Observation Group(n=74)and the Control Group(n=74).The Control Group was treated with percutaneous nephrolithotomy while the Observation Group was treated with flexible ureteroscopic holmium laser lithotripsy(FURS).The perioperative related indexes,stone clearance rate,relapse rate and the incidence of postoperative complications were compared between the two groups.Results The time of first out-of-bed in the Observation Group was significantly shorter than that in the Control Group(P<0.01);The postoperative stone clearance rate in the Observation Group was higher than that in the Control Group(P<0.01);there was a statistically significant difference in the recurrence rate between the two groups(P<0.01);the relapse rate and the incidence of postoperative complications in the Observation Group were lower than those in the Control Group(P<0.01 or 0.05).Conclusion The application of one-time FURS in the treatment of complicated upper urinary tract calculi can effectively improve the stone clearance rate and reduce the probability of relapse,and achieve quick postoperative recovery.

关 键 词：输尿管内窥镜 钬激光碎石术 复杂性上尿路结石 

分 类 号：R69[医药卫生—泌尿科学]