输尿管结石致肾绞痛早期行输尿管镜钬激光碎石术的疗效评价
Evaluation of the efficacy of early ureteroscopic holmium laser lithotripsy for renal colic caused by ureteral calculi
张力 1高磊 2史晓凯 3鹿超 3白禹 3高生林 3左立 3张力峰3
作者信息
- 1. 南京医科大学附属常州第二人民医院泌尿外科,江苏 常州,213000;南京医科大学研究生院,江苏南京,213000
- 2. 南京医科大学附属常州第二人民医院泌尿外科,江苏 常州,213000;大连医科大学研究生院,辽宁大连,116000
- 3. 南京医科大学附属常州第二人民医院泌尿外科,江苏 常州,213000
- 折叠
摘要
目的 探求肾绞痛发作不同时期对行输尿管镜钬激光碎石术治疗输尿管中下段结石的疗效影响.方法 回顾性收集 2021 年 11 月—2023 年 6 月南京医科大学附属常州第二人民医院泌尿外科因输尿管中下段结石行输尿管镜钬激光碎石术的患者 154 例,分为两组,观察组 115 例,为肾绞痛首次发作 14 d内接受手术治疗的患者;对照组 39 例,为肾绞痛发作超过 14 d接受手术治疗的患者,比较两组的手术时间、输尿管狭窄发生概率、一次结石清除率、术前感染情况及拔管时间.结果 对照组手术时间显著长于观察组(P<0.05),输尿管狭窄的发生率大于观察组(P<0.05),两组的一次结石清除率、术前感染情况及拔管时间均无明显差异(P>0.05).结论 中下段输尿管结石的患者在肾绞痛发作后 14 d内,接受输尿管镜激光碎石术可缩短手术时间,降低输尿管狭窄的发生概率,及时缓解患者痛苦.
Abstract
Objective To investigate the effect of different stages of renal colic on the treatment of middle and lower ureteral calculi with ureteroscopic holmium laser lithotripsy.Methods Data of 154 patients with middle and lower ureteral calculi who underwent ureteroscopic holmium laser lithotripsy were retrospectively collected and patients were divided into two groups.115 cases in the observation group were treated with surgery within 14 days of the first attack of renal colic,and 39 cases in the control group were treated with surgery more than 14 days after renal colic attack.The operation time,probability of ureteral stricture,primary stone clearance rate,preoperative infection and extubation time were compared between the two groups.Results The operation time of the control group was significantly longer than that of the observation group(P<0.05),and the incidence of ureteral stricture was higher than that of the observation group(P<0.05).There were no significant differences in the stone clearance rate,preoperative infection and extubation time(P>0.05)between the two groups.Conclusion Ureteroscopic laser lithotripsy for patients with middle and lower ureteral calculi within 14 days after the onset of renal colic can shorten the operation time,reduce the incidence of ureteral stricture,and relieve the pain of patients in time.
关键词
输尿管结石/肾绞痛/经尿道输尿管镜碎石术Key words
ureteral calculi/nephric colic/transurethral ureteroscopic lithotripsy引用本文复制引用
出版年
2024
NETL
NSTL
万方数据