Study on the effectiveness and safety of ureteral dilatation balloon in super-mini percutaneous nephrolithotomy
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摘要: 目的:探讨输尿管扩张球囊在超细经皮肾镜取石术(SMP)中的有效性及安全性。方法:分析2020年1月—2020年11月我院100例采用SMP治疗的上尿路结石患者的临床资料。根据入院时间日期单双号顺序随机分为试验组(SMP前予以留置输尿管扩张球囊封堵输尿管上段)和对照组(SMP前留置输尿管导管封堵输尿管上段),每组50例。观察比较两组手术时间、术中出血量、住院天数、一次清石率、并发症发生率等指标。结果:与对照组比较,试验组手术时间和术后住院时间稍短,结石清除率较高,但差异无统计学意义;而试验组术中出血量少,并发症发生率低,且差异均有统计学意义(P＜0.05)。结论:在SMP治疗上尿路结石中应用输尿管扩张球囊安全、有效,结石清除率高,且术后并发症较少,值得临床推广应用。Abstract: Objective: To investigate the effectiveness and safety of the ureteral dilatation balloon in super-mini percutaneous nephrolithotomy(SMP).Methods: From January 2020 to November 2020, 100 cases with upper urinary tract stones treated with ureteral dilatation balloon in SMP were analyzed in our hospital. According to the order of the date and time of admission, they were randomly and averagely divided into the experimental group whose upper part of the ureter was blocked by the indwelling ureteral dilatation balloon before SMP and the control group whose upper part of the ureter was blocked by the indwelling ureteral catheter before SMP. Indicators such as operation time, intraoperative blood loss, hospitalization days, one stone removal rate, and complication rate were observed and compared between two groups.Results: Compared with the control group, the experimental group had shorter operation time and postoperative hospital stay, and higher stone clearance rate, but there were no significant differences between the two groups(P＞0.05). The differences were statistically significant in intraoperative blood loss and incidence of complications between the two groups(both P＜0.05).Conclusion: The application of ureteral dilatation balloon in the treatment of upper urinary calculi with SMP is safe and effective with high stone clearance rate, fewer postoperative complications, so it is worthy of clinical application.
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