摘要: |
评价负压组合输尿管镜碎石术治疗>10mm输尿管上段结石的临床疗效及安全性。方法:回顾性分析2016年1月~2018年10月我院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。评估结石清除率,感染并发症发生率(发热>38℃、术后CRP、PCT异常升高例数占比),结果:术后4周结石清除率:负压组显著高于常规组(88.7% VS 68.8%),差异有统计学意义(P<0.05);并发症发生率:(发热>38℃/术后CRP异常升高/PCT异常升高例数比):负压组显著低于常规组(9.3% VS 22.9 %;10.3% VS 25 %;8.2% VS 20.8 %),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>10mm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 |
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基金项目:深圳市坪山区卫生系统科研项目(项目编号: 201718 ) |
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The effectiveness and safety of negative suction combined ureteroscopy treated on upper ureteral stones which diameter>10mm |
张遂兵
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Pingshan district pepole’s hospital ,Shenzhen , Guangdong
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Abstract: |
[Abstract] Objective:Applicated the effectiveness and safety of negative suction combined ureteroscopy treated on upper ureteral stones which diameter >10mm.Methods:We retrospectively investigate a total of 145 patients with upper ureteral stones who treated by ureteroscopic lithotripsy.The negative suction group 97 cases(applied of negative suction combined ureteroscopy),The general group 48 cases(applied of conventional ureteroscopy ).To observe the operation time、stone clear rate、infection rate of two groups of patients.Results:The stone clear rate was significantly higher than that of general group(88.7% VS 68.8 %);The incidence of complications(T>38℃ /CRP /PCT after operation) were significantly lower than that of normal group(9.3% VS 22.9 %;10.3% VS 25 %;8.2% VS 20.8 %)(P <0.05).Conclusions:the treatment of negative suction combined ureteroscopy on upper ureteral stones which diameter >10mm was effectly and safe,easy to apply, worthy of promotion. |
Key words: negative suction combined ureteroscopy upper ureteral stones stone clear rate incidence of complication. |