经尿道可弯曲负压吸引鞘碎石取石治疗肾及输尿管上段结石的初步疗效  

Efficacy of flexible vacuum aspiration ureteral access sheath for renal and upper ureteral calculi

作　　者：周文湖 陈道勋 卢东明 廖尚范 ZHOU Wenhu;CHEN Daoxun;LU Dongming;LIAO Shangfan(Department of Urology,Affiliated Sanming First Hospital,Fujian Medical University,Sanming 365000,China)

机构地区：[1]福建医科大学附属三明第一医院泌尿外科,福建三明365000

出　　处：《现代泌尿外科杂志》2023年第12期1028-1031,共4页Journal of Modern Urology

基　　金：三明市科技计划引导性项目(No.2020-S-60)。

摘　　要：目的探讨可弯曲负压吸引输尿管引导鞘在输尿管软镜碎石术治疗肾结石及输尿管上段结石的安全性及有效性。方法回顾性分析41例福建医科大学附属三明第一医院泌尿外科行输尿管软镜碎石术治疗肾结石或输尿管上段结石患者的临床资料,其中可弯曲负压吸引鞘20例(可弯曲负压吸引鞘组)、传统软镜鞘21例(传统软镜鞘组),比较两组患者的结石清除率、手术时间、术后是否发热(T>37.5℃)、住院时间及费用。结果两组患者均顺利完成手术,可弯曲负压吸引鞘组手术时间明显小于传统软镜鞘组[(54.0±19.8)min vs.(76.6±20.1)min,P<0.05];结石清除率显著高于传统软镜鞘组(90.0%vs.61.9%,P<0.05)。可弯曲负压吸引鞘组术后患者无发热,而传统软镜鞘组中发热者有5例(23.8%)(P<0.05)。两组住院时间、费用,差异均无统计学意义(P>0.05)。结论在输尿管软镜碎石术中运用可弯曲式负压吸引鞘治疗肾结石及输尿管上段结石,可缩短手术时长,同时提高结石清除率减少术后发热率,值得进一步推广。Objective To investigate the safety and efficacy of flexible vacuum aspiration ureteral access sheath in ureteroscopic lithotripsy in the treatment of renal and upper ureteral calculi.Methods Clinical data of 41 cases treated in our hospital were retrospectively analyzed,including 20 cases treated with flexible vacuum aspiration ureteral access sheath(experimental group),and 21 cases treated with traditional ureteral access sheath(control group).The stone-clearance rate,operation time,postoperative fever(T>37.5℃),length of hospital stay and hospitalization costs were compared between the two groups.Results All operations were successful.The experimental group had significantly shorter operation time than the control group[(54.0±19.8)min vs.(76.6±20.1)min,P<0.05],higher stone-clearance rate(90.0%vs.61.9%,P<0.05),and lower incidence of postoperative fever(0 vs.23.8%P<0.05).There were no significant differences in hospital stay and costs between the two groups(P>0.05).Conclusion Flexible vacuum aspiration ureteral access sheath in flexible ureteroscopic lithotripsy can shorten the operation time,improve stone-clearance rate and reduce incidence of postoperative fever,which is worth promoting.

关 键 词：可弯曲负压吸引输尿管引导鞘 输尿管软镜碎石术 肾结石 输尿管上段结石 术后发热 手术时间 结石清除率 

分 类 号：R692.4[医药卫生—泌尿科学]