摘要
目的比较智能控压输尿管软镜吸引取石术与普通电子输尿管软镜碎石术治疗≤2em肾结石的效果。方法回顾性分析2015年6月至2017年12月267例在江西省赣州市人民医院泌尿外科接受输尿管软镜碎石的肾结石患者的临床资料。男性129例，女性138例，年龄51．2岁（范围：19-76岁）。145例患者行智能控压输尿管软镜吸引取石术（控压组），122例患者行电子输尿管软镜碎石术（对照组）。采用t检验、χ2检验或Fisher精确概率检验比较两组患者的寻石成功率、一期结石清除率、并发症发生率、手术时间、术后住院时间等。结果控压组手术时间短于对照组[（26．2±8．6）min比（47．2±18．4）min，t=1．968，P=0．000]，一期结石清除率高于对照组（97．2％比86．0％，χ2=0．069，P=0．004），总体并发症发生率低于对照组（2．7％比18．0％，χ2=17．586，P=0．000）。两组术中寻石成功率（97．2％比95．9％，χ=0．069，P=0．791）、术后住院时间[（1．58±0．54）d比（1．65±0．61）d，d,t=-0．768，P：0．905]差异均无统计学意义。结论智能控压输尿管软镜吸引取石术较普通输尿管软镜手术时间短、一期结石清除率高、并发症少。
Objective To evaluate the effectiveness and safety of intelligent pressure control flexible ureteroscope for management of renal stones ≤2 em. Methods The clinical data of 267 cases of renal calculi treated with flexible ureteroscope lithotripsy at Department of Urology, Ganzhou People＇s Hospital from June 2015 to December 2017 were analyzed retrospectively. There were 129 male and 138 female patients, with a mean age of 51.2 years （ranging from 19 to 76 years）. Among them, 145 patients underwent intelligent pressure control flexible ureteroscope （intelligent control group ） and 122 patients underwent flexible ureteroscope ordinary （ordinary group）. The t test,χ2 test or Fisher exact test were used for statistical analysis. The success rate of stone seeking, the stone free rates, the incidence of complications, the average operation time, the average hospital stay after operation were compared between the two groups. Results The average mean operative time of the patients with intelligent control group was （ 26. 17 ± 8.64） minutes, significantly shorter than （ 47.23 ± 18.35 ） minutes of the ordinary group （ t = 1. 968, P=0.000）. The stone free rate of the patients with intelligent control group was 97.2%, it was higher than 86. 0% of ordinary group （χ2 =0. 069, P=0.004）. The comphcation rate of the patients with intelligent control group was 2.7%, which was significantly shorter than 18.0% of the ordinary group （ χ2 = 17. 586, P=0.000）. However, there was no significant difference between the two groups in the success rate of stone seeking and postoperative hospital stay （P〉0.05）. Conclusion Intelligent controlled pressure ureteral flexible ureteroscope has the advantages of short operation time, high stone free rate and less complications in the treatment of renal calculi ≤2 cm compared with flexible ureteroscope ordinary.
作者
陈华
宋乐明
刘泰荣
钟久庆
朱伦锋
姚磊
朱贤鑫
曾曼
刘生锋
黄永明
Chen Hua;Song Leming;Liu Tairong;Zhong Jiuqing;Zhu Lunfeng;Yao Lei(ZhuXianxin,Zeng Min,Liu Shengfeng,Huang Yongming.Department of Urology,C,anzhou People＇s Hospital,Ganzhou Affiliated Hospital of Nanchang University,Ganzhou 341000,Jiangxi Province,China)
出处
《中华外科杂志》
CAS
CSCD
北大核心
2018年第10期772-775,共4页
Chinese Journal of Surgery
基金
江西省科学技术厅重大科技项目（20152ACG70009）
关键词
肾结石
输尿管镜检查
智能控压
Kidney calculi
Ureteroscopy
Intelligent pressure control
