可复用输尿管软镜联合体外物理振动排石机治疗大体积肾结石的可行性  

Feasibility study of reusable ureteroscopic lithotripsy combined with extracorporeal physical vibration lithotripsy for the treatment of large-volume renal calculi

作　　者：刘传峰 王传君 庞清潭 赵子超 王福明 王凯 夏耀辉 夏永强 Liu Chuanfeng;Wang Chuanjun;Pang Qingtan;Zhao Zichao;Wang Fuming;Wang Kai;Xia Yaohui;Xia Yongqiang(Department of Urology,Women&Children's Health Care Hospital of Linyi,Linyi 276000,China;Reproductive Medicine Department,Women&Children's Health Care Hospital of Linyi,Linyi 276000,China)

机构地区：[1]临沂市妇幼保健院泌尿外科,临沂276000 [2]临沂市妇幼保健院生殖科,临沂276000

出　　处：《中华泌尿外科杂志》2025年第2期141-142,共2页Chinese Journal of Urology

摘　　要：回顾性分析临沂市妇幼保健院2020年8月至2023年8月收治的43例大体积肾结石患者的临床资料,男26例,女17例。年龄(42.7±11.1)岁。结石位于左侧22例,右侧21例。结石体积(10.3±3.5)cm 3。术前留置双J管33例。所有患者均采用可复用输尿管软镜行经尿道输尿管软镜碎石术(FURL),21例术后辅助传统排石方法和体外物理振动排石(EPVL)治疗(试验组),22例术后仅辅助传统排石方法治疗(对照组)。FURL手术时间(97.9±10.4)min。试验组术后1个月结石清除率高于对照组[85.7%(18/21)与54.5%(12/22)],再手术率低于对照组[4.8%(1/21)与31.8%(7/22)],差异均有统计学意义(P<0.05)。可复用输尿管软镜联合EPVL治疗大体积肾结石是可行的。This study retrospectively analyzed the clinical data of 43 patients with large-volume renal calculi treated with flexible ureteroscopic lithotripsy(FURL)at our hospital from August 2020 to August 2023.Among the patients,26 were male and 17 were female;22 had left-sided stones and 21 had right-sided stones.Thirty-three patients had preoperative placement of a double-J(D-J)stent,while 10 did not.The mean age was(42.7±11.1)years,the mean stone volume was(10.3±3.5)cm 3,and the mean operative time was(97.9±10.4)minutes.All procedures were completed using reusable flexible ureteroscopic lithotripsy.Twenty-two patients received traditional methods of stone expulsion after FURL(control group),while 21 patients received a combination of traditional methods and extracorporeal physical vibration lithotripsy(EPVL)after FURL(experimental group).The experimental group showed a significantly higher stone-free rate at one month(85.7%vs.54.5%)and a lower reoperation rate(4.8%vs.31.8%)compared to the control group.The difference in reoperation rates between the experimental and control groups was statistically significant(P<0.05).These results suggest that the combination of reusable ureteroscopic lithotripsy and EPVL is a feasible treatment option for large-volume renal calculi.

关 键 词：肾结石 输尿管镜外科手术 激光碎石术 

分 类 号：R69[医药卫生—泌尿科学]