输尿管下段结石输尿管镜下钬激光碎石术后短时间留置F3导管的临床疗效  

Short-term placement of F3 catheter after ureteroscopy and holmium laser lithotripsy for lower ureteral calculi

作　　者：赵太玉 蔡蔚[2] 刘起立 毛璟弢 黄丽玲 杨华伟[2] 龙蠡[2] 谢晓[2] 谢海平[2] 狄奇 陈楠 王静雅 ZHAO Taiyu;CAI Wei;LIU Qili;MAO Jingtao;HUANG Liling;YANG Huawei;LONG Li;XIE Xiao;XIE Haiping;DI Qi;CHEN Nan;WANG Jingya(First Clinical College of Chinese Medicine,Hunan University of Chinese Medicine,Changsha,Hunan 410007,China)

机构地区：[1]湖南中医药大学第一中医临床学院,湖南长沙410007 [2]湖南中医药大学第一附属医院泌尿外科,湖南长沙410007

出　　处：《中国临床研究》2024年第9期1394-1397,共4页Chinese Journal of Clinical Research

基　　金：湖南省自然科学基金面上项目(2022JJ30452);湖南省卫生健康委员会一般指导课题(202204054156);湖南省普通高校教学改革研究课题重点项目(HNJG-2022-0135);湖南省普通高等学校教学改革研究项目(HNJG-2021-0602)

摘　　要：目的比较输尿管下段结石输尿管镜钬激光碎石术的患者,术后短时间留置F3导管与常规留置双J管的临床疗效。方法收集2022年1月—2023年6月湖南中医药大学第一附属医院泌尿外科收治的输尿管下段结石行输尿管镜钬激光碎石术的患者60例,随机分组分为观察组(短时间留置F3导管)30例和对照组(常规留置双J管)30例。术后对比两组的住院时间、腰痛程度、血尿持续时间,以及尿路感染、膀胱刺激征的发生情况。结果60例患者均手术成功,术中未见明显出血、输尿管狭窄等,术后复查腹部X线,均无结石残留。与对照组相比,观察组尿路感染发生率(6.67%vs 36.67%,χ^(2)=7.954,P=0.005)和膀胱刺激征发生率(10.00%vs 46.67%,χ^(2)=9.932,P=0.002)较低,差异有统计学意义(P<0.01)。与对照组比较,观察组患者术后血尿持续时间较短、住院时间较短、腰疼VAS评分较低,差异有统计学意义(P<0.01)。两组患者术后2个月复查均无输尿管狭窄发生。结论输尿管镜下钬激光碎石术后短时间留置F3导管是安全有效的。Objective To compare the clinical effects of short-term placement of F3 catheter and conventional placement of double-J stent after ureteroscopic holmium laser lithotripsy for lower ureteral calculi.Methods A total of 60 patients with lower ureteral calculi who underwent ureteroscopic holmium laser lithotripsy at the First Affiliated Hospital of Hunan University of Chinese Medicine from January 2022 to June 2023 were randomly divided into observation group(short-term placement of F3 catheter)with 30 cases and control group(conventional placement of double-J stent)with 30 cases.Postoperative comparisons between the two groups were made in terms of hospital stay,degree of lumbago,duration of hematuria,urinary tract infection,and bladder irritation symptoms.Results All 60 patients were successfully operated on,and no significant bleeding or ureteral stricture observed during the operation.Postoperative abdominal X-ray examinations showed no residual stones.Compared with the control group,incidence rates of urinary tract infection(6.67%vs 36.67%,χ^(2)=7.954,P=0.005)and bladder irritation symptoms(10.00%vs 46.67%,χ^(2)=9.932,P=0.002)in the observation group were lower,with a statistically significant difference(P<0.01).Compared with the control group,the observation group had shorter duration of postoperative hematuria,shorter hospital-stay,and lower VAS scores for lumbago,with statistically significant differences(P<0.01).No ureteral stricture occurred in either group during the 2-month follow-up.Conclusion Short-term placement of F3 catheter after ureteroscopic holmium laser lithotripsy is safe and effective.

关 键 词：输尿管结石 钬激光 输尿管支架 尿路感染 膀胱刺激征 

分 类 号：R693.4[医药卫生—泌尿科学]