掺铥激光联合头部可弯曲负压鞘治疗2～3cm肾结石的临床研究
Clinical Study of Thulium-Doped Laser Combined with a Flexible Ureteroscope with Distal Negative Pressure Sheath for the Treatment of 2-3 cm Renal Stones
鲁文龙 1王忠 1刘峰 1陈琳1
作者信息
- 1. 上海市奉贤区中心医院泌尿外科,上海 201400
- 折叠
摘要
目的:探讨掺铥激光联合头部可弯曲负压鞘输尿管软镜碎石取石术治疗2～3 cm肾结石的安全性和有效性.方法:选取上海市奉贤区中心医院2023年11月至2024年6月收治的60例2～3 cm肾结石患者,随机分为实验组(30例)和对照组(30例).实验组采用掺铥激光联合头部可弯曲负压鞘输尿管软镜碎石取石术,对照组采用钬激光经皮肾镜碎石取石术.对比两组手术时间、术后并发症发生率、住院时间、结石清除率等指标.结果:实验组手术时间[(82.2±17.3)min]高于对照组[(52.5±9.7)min]、术后并发症发生率[10%(3/30)]及住院时间[(3.9±0.9)d]明显低于对照组[分别为36.67%(11/30)、(6.7±1.5)d],均P<0.05;两组结石清除率比较差异无统计学意义(P>0.05).结论:与传统的钬激光经皮肾镜碎石取石术相比,掺铥激光联合头部可弯曲负压鞘输尿管软镜碎石取石术治疗2～3 cm肾结石创伤更小、并发症更少,是一种安全、有效的治疗选择,值得推广应用.
Abstract
Objective:To investigate the safety and efficacy of thulium-doped laser combined with a flexible ure-teroscope with a distal flexible negative pressure sheath for the treatment of 2-3 cm renal stones.Methods:Sixty pa-tients with 2-3 cm renal stones,admitted to Fengxian District Central Hospital,Shanghai,from November 2023 to June 2024,were randomly divided into two groups:the experimental group(30 cases)and the control group(30 cas-es).The experimental group underwent thulium-doped laser combined with a flexible ureteroscope with a distal flexi-ble negative pressure sheath for lithotripsy and stone removal,while the control group underwent holmium laser per-cutaneous nephrolithotomy.The surgical time,incidence of postoperative complications,length of hospital stay,and stone clearance rate were compared between the two groups.Results:The surgical time in the experimental group[(82.2±17.3)min]was longer than in the control group[(52.5±9.7)min].The incidence of postoperative com-plications[10%(3/30)]and the length of hospital stay[(3.9±0.9)days]were significantly lower in the experi-mental group compared to the control group[36.67%(11/30),(6.7±1.5)days],with all differences being statisti-cally significant(P<0.05).There was no significant difference in the stone clearance rate between the two groups(P>0.05).Conclusion:Compared with traditional holmium laser percutaneous nephrolithotomy,thulium-doped laser combined with a flexible ureteroscope with a distal flexible negative pressure sheath for treating 2-3 cm renal stones results in less trauma,fewer complications,and is a safe and effective treatment option that is worth promoting.
关键词
掺铥激光/头部可弯曲负压鞘/输尿管软镜/经皮肾镜/肾结石Key words
thulium-doped laser/flexible ureteroscope with distal flexible negative pressure sheath/ureteroscopy/per-cutaneous nephrolithotomy/renal stones引用本文复制引用
出版年
2024
NETL
NSTL
万方数据