|
|
两种不同碎石方式治疗输尿管结石术后导致输尿管狭窄的对照分析
|
Abstract:
目的：比较钬激光碎石和气压弹道碎石治疗输尿管结石继发输尿管狭窄的发生率。方法：回顾性分析自2014年3月~2020年3月治疗输尿管结石279例患者的临床资料和术后随访资料，包括141例钬激光碎石治疗的患者和138例气压弹道碎石治疗的患者。结果：两种方式碎石成功率、手术时间和3个月结石排净率无差异；两组的输尿管狭窄发生率组间差异存在统计学意义。结论：输尿管镜钬激光碎石术是一种治疗输尿管结石安全、高效的方法，但该术式导致的输尿管狭窄发生率比气压弹道碎石术高。
Objective: To compare the incidence rate of ureteral stricture between ureteroscopic holmium laser and ureteroscopic pneumatic lithotripsy for the treatment of ureteral calculi. Methods: Clinical data of 279 patients with ureteral calculi who underwent ureteroscopic lithotripsy was analyzed retrospectively from March 2014 to March 2020, including 141 cases of holmium laser lithotripsy and 138 cases of pneumatic lithotripsy. Results: There is no significant difference in operation time, success rate of operation, the passing stone rate in 3 months. The difference of ureteral stricture between the two groups was statistically significant (P < 0.05). Conclusions: Ureteroscopic holmium laser lithotripsy is a safe and effective method for the treatment of ureteral calculi, but the incidence of ureteral stricture is higher than that of pneumatic lithotripsy.
| [1] | 孙西钊. 输尿管结石[M]. 见: 陈孝平, 主编. 外科学(下册). 北京: 人民卫生出版社, 2005: 864-866. |
| [2] | Torricelli, F.C., Mazzucchi, E., Danilovic, A., Coelho, R.F. and Srougi, M. (2013) Surgical Management of Bladder Stones: Literature Review. Revista do Colégio Brasileiro de Cirurgi？es, 40, 227-233.
https://doi.org/10.1590/S0100-69912013000300011 |
| [3] | Lnamoto, T., Azuma, H. and Katsuoka, Y. (2009) Ex-tracorporeal Shock Wave Lithotripsy as a First-Line Therapy for Ureteral Calculi with Impaired Renal Function due to Hydronephrosis. Surgical Endoscopy, 23, 1674.
https://doi.org/10.1007/s00464-009-0387-5 |
| [4] | Isen, K. (2012) Pneumatic Ureteroscopic Lithotripsy: Is It Still a Reasonable Treatment Option for Multiple Uretericstones? Urologia Internationalis, 88, 316-321. https://doi.org/10.1159/000335510 |
| [5] | 齐桓, 郑少斌, 谭万龙, 等. 输尿管镜下气压弹道碎石术近期并发症的防治[J]. 中华泌尿外科杂志, 2003, 24(7): 490-492. |
| [6] | Vassar, G.J., Chan, K.F., Teichman, J.M., et al. (1999) Holmium: YAG Lithotripsy: Photothermal Mechanism. Journal of Endourology, 13, 181-190. https://doi.org/10.1089/end.1999.13.181 |
| [7] | Takazawa, R., Kitayama, S. and Tsujii, T. (2012) Single-Session Ureteroscopy with Holmium Laser Lithotripsy for Multiple Stones. International Journal of Urology, 19, 1118-1121. https://doi.org/10.1111/j.1442-2042.2012.03113.x |
| [8] | Engel, O., Rink, M. and Fisch, M. (2015) Management of Iatrogenic Ureteral Injury and Techniques for Ureteral Reconstruction. Current Opinion in Urology, 25, 331-335. https://doi.org/10.1097/MOU.0000000000000175 |
| [9] | 熊思清, 陈丽平, 黄金球, 等. 不同微创方法治疗复杂性输尿管上段结石的疗效比较[J]. 江西医药, 2018, 53(7): 702-704. |
