人工灌注联合拦截网篮在输尿管结石碎石手术中的应用体会  

Application experience of artificial perfusion combined with interception basket in ureteral calculi lithotripsy

作　　者：张亚龙 雷光辉 向彬 杨伟家 赵洁 邓美荣 高海捷 Zhang Yalong;Lei Guanghui;Xiang Bin;Yang Weijia;Zhao Jie;Deng Meirong;Gao Haijie(Department of Urology,Xi’an XD Group Hospital(The Third Affiliated Hospital of Shaanxi University of Chinese Medicine),Xi’an 710000,China)

机构地区：[1]西电集团医院(陕西中医药大学第三附属医院)泌尿外科,西安710000

出　　处：《新医学》2024年第1期58-62,共5页Journal of New Medicine

摘　　要：目的探讨人工灌注联合拦截网篮在输尿管结石碎石手术中的临床效果。方法回顾性分析行输尿管结石手术治疗的151例患者临床资料,根据手术方式的不同分为2组:人工灌注联合拦截网篮组(观察组)72例、使用常规灌注泵组(对照组)79例。比较2组患者的手术时间、术中出血量、结石逃逸比例、结石再次干预情况以及并发症等相关指标。结果2组在手术时间、术中出血量、并发症发生方面比较差异无统计学意义(P>0.05),观察组的结石逃逸比例、结石再次干预比例均低于对照组(P<0.05)。结论人工灌注联合拦截网篮在输尿管结石碎石术中可降低结石逃逸比例及残留结石再次干预比例,提高结石清除效率。Objective To evaluate clinical efficacy of artificial perfusion combined with interception basket in ureteral calculi lithotripsy.Methods Clinical data of 151 patients with ureteral calculi who underwent surgical treatment were retrospectively analyzed.They were divided into the observation group(artificial perfusion combined with interception basket)and control group(conventional perfusion pump).The operation time,intraoperative blood loss,proportion of stone escape,stone re-intervention and complications were observed in two groups.Results There were no significant differences in operation time,intraoperative blood loss and incidence of complications between two groups(all P>0.05).The proportion of stone escape and stone re-intervention in the observation group were significantly lower than those in the control group,and the differences were statistically significant(both P<0.05).Conclusion Artificial low-pressure perfusion combined with interception basket in ureteral stone lithotripsy can reduce the proportion of stone escape and residual stone re-intervention and improve the stone clearance efficiency.

关 键 词：输尿管结石 灌注 拦截网篮 输尿管镜手术 

分 类 号：R699.4[医药卫生—泌尿科学]