引用本文:张遂兵,潘卫兵,盘昌力.负压组合输尿管镜碎石术治疗直径>10 mm输尿管上段结石的有效性与安全性分析[J].中国临床新医学,2019,12(6):638-641.
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负压组合输尿管镜碎石术治疗直径>10 mm输尿管上段结石的有效性与安全性分析
张遂兵,潘卫兵,盘昌力
518118 广东,深圳市坪山新区人民医院泌尿外科
摘要:
[摘要] 目的 分析负压组合输尿管镜碎石术治疗直径>10 mm输尿管上段结石的临床疗效及安全性。方法 回顾性分析2016-01~2018-10该院145例采用经输尿管镜治疗的输尿管上段结石病例,按治疗方式不同将患者分成负压组(采用负压组合输尿管镜钬激光碎石术)97例,常规组(采用常规输尿管镜钬激光碎石术)48例。比较两组清石率和感染并发症发生率。结果 负压组术后4周清石率高于常规组(88.70% vs 68.75%),差异有统计学意义(P<0.05);负压组感染并发症发生率(发热>38 ℃/术后CRP异常升高/PCT异常升高例数比)显著低于常规组(9.28% vs 22.92%;10.31% vs 25.00%;8.25% vs 20.83%),差异有统计学意义(P<0.05)。结论 负压组合输尿管镜碎石术治疗直径>10 mm输尿管上段结石,高效、安全、简便适用。
关键词:  负压组合镜  输尿管上段结石  结石清除率  并发症
DOI:10.3969/j.issn.1674-3806.2019.06.15
分类号:R 693.4
基金项目:深圳市坪山区卫生系统科研项目(编号:201718)
The effectiveness and safety of negative suction combined ureteroscopy in treatment of upper ureteral stones with diameters more than 10 mm
ZHANG Sui-bing, PAN Wei-bing, PAN Chang-li
Department of Urology, the People′s Hospital of Pingshan New District, Shenzhen City, Guangdong 518118, China
Abstract:
[Abstract] Objective To evaluate the effectiveness and safety of negative suction combined ureteroscopy in treatment of upper ureteral stones with diameters more than 10 mm. Methods The data of 145 patients with upper ureteral stones who were treated by ureteroscopic lithotripsy in our hospital during January 2016 and October 2018 were retrospectively investigated. These patients were divided into negative suction group(treated with negative suction combined ureteroscopy, n=97) and conventional therapy group(treated with conventional ureteroscopic holmium laser lithotripsy, n=48) according to different treatment methods. The stone clearance rate and infectious complication rate were compared between the two groups. Results The stone clearance rate of the negative suction group was significantly higher than that of the conventional therapy group 4 weeks after operation(88.70% vs 68.75%)(P<0.05).The incidence rates of infectious complications(T>38 ℃, ratio of cases with abnormal CRP/PCT increase after surgery) in the negative suction group were significantly lower than those in the conventional therapy group(9.28% vs 22.92%; 10.31% vs 25.00%; 8.25% vs 20.83%)(P<0.05). Conclusion Negative suction combined ureteroscopy is safe, efficient and simple for the patients with upper ureteral stones with diameters more than 10 mm.
Key words:  Negative suction combined ureteroscopy  Upper ureteral stones  Stone clearance rate  Complications