| 盛涛,马天红,沈瑞林,邵欢,王晓庭.“颗粒化取石”在输尿管软镜治疗中应用的临床研究[J].浙江中西医结合杂志,2021,31(5): |
| “颗粒化取石”在输尿管软镜治疗中应用的临床研究 |
| Clinical application of“Granulation take#$NBSstonemethod”in Holmium laser lithotripsy combined with flexible ureteroscope for renal stones |
| 投稿时间：2020-10-23 修订日期：2021-03-15 |
| DOI： |
| 中文关键词: 输尿管软镜 手术方式 颗粒化取石 肾结石 |
| 英文关键词:flexible ureteroscopic operative method Granulation take stone method renal calculus |
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| 中文摘要: |
| 目的 探讨采用“颗粒化取石”输尿管软镜手术方式的有效性及安全性。方法 112例肾/输尿管上段结石患者,随机分为2组,观察组71例,采用“颗粒化取石”进行输尿管软镜手术,对照组41例,采用传统碎石法进行输尿管软镜手术。观察两组手术情况、术后结石残留情况及术中术后并发症。结果 两组患者均未发生严重并发症如输尿管穿孔、严重血尿和严重感染等。两组患者年龄、性别、结石部位、结石大小及肾积水程度差异无统计学差异(P >0.05)。观察组软镜碎石成功率 94.4%(67/71),对照组碎石成功率 92.7%(38/41)。差异无统计学差异(P >0.05)。观察组平均手术时间为(88.39±24.23)min,对照组(96.32±26.00)min,差异无统计学意义(P >0.05)。观察组术后结石残留发生率为4.5%,对照组术后结石残留发生率为18.4%。差异存在统计学意义(P <0.05)。结论 输尿管软镜“颗粒化取石”手术方式在一定程度上改善了输尿管软镜治疗肾结石排石率低、残石率高的问题；但是本方法也存在一定的局限性,如对主刀医师技术要求较高等。 |
| 英文摘要: |
| Objective To investigated the effectiveness and safety of“Granulation take stone method”theory to flexible ureteroscope with holmium laser lithotripsy for renal stones.Methods 112 patients with renal calculi were randomly divided into two groups: 71 patients were treated by new“take stone”method of flexible ureteroscopy and 41 patients with traditional method of flexible ureteroscopy. Preoperative patient characteristics,radiographic stone size,operation time,success rate of lithotripsy, residual calculus were recorded.Result No serious complication occurred in two groups. Between two groups, there were no difference in terms of patient age, stone side, stone size,degree of hydronephrosis (P >0.05). The success rate was 93.9% in the observation group and 93.9% in the control group,there was no difference between two groups (P >0.05). The average operation time of the observation group was (88.39±24.23)min and that of the control group was (96.32+26.00)min,there was no difference between two groups (P >0.05). The incidence of residual stone was 4.5% in the observation group and 18.4% in the control group. There were significant differences between the two groups(P <0.05).Conclusions The“Granulation take stone method”flexible ureteroscopic lithotripsy has improved the problems of low lithotripsy rate and high residual stone rate in the treatment of renal calculi to a certain extent, but it also has some limitations, such as high technical requirements for the chief knife physician. |
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