摘要
目的:评估输尿管软镜钬激光碎石术后物理振动促进肾下盏残石排出的疗效及安全性。方法:选取2016年1月～2017年12月在我院行输尿管软镜碎石术后肾下盏仍有残石的55例患者为研究对象。将术后行物理振动排石治疗的30例患者设为试验组,同期未接受物理振动排石的25例患者设为对照组。比较两组患者的一般情况、结石相关参数以及术后并发症发生情况。结果:试验组和对照组患者一般情况(年龄、性别、BMI)和结石相关参数(结石大小、结石负荷、结石分布和结石成分)比较差异无统计学意义(P>0.05)。术后1、2周试验组与对照组清石率分别为76.7%和44.0%、90.0%和64.0%,两组比较差异均有统计学意义(P<0.05)。术后1、2周试验组与对照组患者尿常规中白细胞阳性率及血尿比较差异无统计学意义(P>0.05)。结论:物理振动排石机辅助输尿管软镜钬激光碎石术后肾下盏残石排出的疗效显著,安全可靠,不会增加术后并发症的发生率。
Objective: To analyze the effect and safety of external physical vibration lithecbole in promoting the extraction of lower renal calyx stones after flexible ureteroscopy. Method: From January 2016 to December 2017, 55 patients were included in this study and were randomly divided into study group(n=30) and control group(n=25). Factors such as age, gender, BMI, stone size, stone burden, stones location, stone free rate(SFR), stone composition and postoperative complications were analyzed. Result: Factors such as age, gender, BMI, stone size, stone burden, stones location showed no difference between two groups(P>0.05). The SFRs of the study group and control were 76.7% and 44.0%, 90.0% and 64.0% at 1 week and 2 weeks after flexible ureteroscopy respectively(P<0.05). The incidence of hematuria and positive urine leukocytes between study group and control group showed no difference(P>0.05). Conclusion: External physical vibration lithecbole could significantly accelerate the extraction of lower renal calyx stones after flexible ureteroscopy, improve stone free rate, but not increase the incidence of postoperative complications.
作者
李玲
吴天鹏
LI Ling;WU Tianpeng(Department of Urology,Renmin Hospital of Wuhan University,Wuhan,430060,China)
出处
《临床泌尿外科杂志》
2019年第4期268-270,共3页
Journal of Clinical Urology
关键词
肾下盏结石
输尿管软镜
物理振动排石
lower renal calyx stones
flexible ureteroscopy
physical vibration lithecbole
