摘要
目的探讨双J管预扩张对输尿管软镜钬激光碎石的疗效。方法 2012年2月～2014年9月,对363例输尿管软镜治疗肾结石术前使用双J管对治疗侧输尿管进行预扩张,统计扩张鞘进鞘成功率、并发症发生率、结石排净率。结果置管期间尿路刺激征发生率29.8%（108/363）,软镜扩张鞘1次放置成功率99.4%（361/363）,需主动干预治疗的并发症发生率3.9%（14/363）,术后2个月结石排净率90.1%（327/363）。结论输尿管软镜碎石术前使用双J管对治疗侧输尿管进行预扩张,软镜扩张鞘置入成功率高,手术效果满意,患者痛苦轻。
Objective To evaluate therapeutic effects of preoperative ureteral stenting in the treatment of renal calculi treated with flexible ureteroscope. Methods We used flexible ureteroscope and holmium laser to treat 363 cases of renal calculi, who received a double-J stent placement before operation. The successful rate of sheath placement, rate of complications, and stone-free rate were analyzed. Results During the stent indwelling period, 29.8% （108/363） patients had urinary irritation symptoms. The successful rate of sheath placement at the first time was 99.4% （ 361/363 ） , and the incidence of complications which need therapeutic interventions was 3.9% （ 14/363 ）. The postoperative stone-free rate after 2 months was 90.1% （327/363）. Conclusion Double- J stent placement before operation for ureteral predilation leads to higher successful rate of sheath placement, low probability of complications, and excellent curative effects.
出处
《中国微创外科杂志》
CSCD
北大核心
2015年第8期692-694,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
双J管
预扩张
输尿管软镜
钬激光
肾结石
Double-J stent
Preoperative ureteral stenting
Flexible ureteroscopy
Holmium laser
Renal stone
