输尿管软镜钬激光碎石术治疗肾下盏结石的有效性分析

沈宸; 范博; 李先承; 范治璐; 王小刚; 陈志岐; 王群; 刘万凯; 张玥; 王炜

doi:10.13201/j.issn.1001-1420.2021.08.007

输尿管软镜钬激光碎石术治疗肾下盏结石的有效性分析

- 大连医科大学附属第二医院泌尿外科(辽宁大连, 116023)

详细信息

通讯作者: 王炜,E-mail:17709871915@163.com

中图分类号: R692.4

收稿日期: 2020-06-10

Effectiveness analysis of flexible ureterorenoscopy with holmium laser lithotripsy in management of lower pole stones

- Department of Urology, Second Hospital of Dalian Medical University, Dalian, Liaoning, 116023, China

More Information

Corresponding author: WANG Wei, E-mail: 17709871915@163.com

Received Date: 10 June 2020

摘要

摘要: 目的:评估输尿管软镜碎石术治疗肾下盏结石的效果并分析其影响因素。方法:回顾性分析2017年7月—2019年5月期间我院收治的89例肾下盏结石患者的临床资料,讨论影响碎石及排石效果的因素。结果:89例肾下盏结石患者中,碎石成功78例,失败11例,成功率为87.64%。将89例患者分为清石成功组(n=78)和清石失败组(n=11),两组患者在结石是否单发(P=0.007)和肾盂肾下盏夹角(P=0.008)方面差异有统计学意义。在logistic多因素回归分析模型中,结石是否单发(P=0.022)、肾盂肾下盏夹角(P=0.018)、肾下盏与输尿管间水平距离(P=0.021)是影响输尿管软镜碎石术治疗肾下盏结石成功率的3个独立危险因素。结论:对于肾下盏结石软镜碎石手术,碎石效率及清石效果不仅取决于结石本身的成分硬度特性,同时与肾盂肾下盏夹角、肾下盏与输尿管间水平距离等因素密切相关。
- 输尿管软镜 /
- 钬激光碎石术 /
- 肾下盏结石
Abstract: Objective: To evaluate the effect and influencing factors of flexible ureterorenoscopy for lower pole calculi.Methods: The clinical data of 89 patients with lower pole stones in kidney treated in our hospital from July 2017 to May 2019 were retrospectively analyzed, and the factors affecting the effect of flexible ureterorenoscopy were discussed.Results: Of the 89 patients with lower pole stones in kidney, flexible ureterorenoscopy was successful in 78 cases and failed in 11 cases, with a success rate of 87.64%. The 89 patients were divided into the lithotripsy success group(n=78) and lithotripsy failure group(n=11). The difference was statistically significant between the two groups in whether the stones were solitary(P=0.007) and the angle between the pelvis and kidney(P=0.008). In logistic multivariate regression analysis model, whether the stones were solitary(P=0.022), the angle between the lower pelvis and kidney(P=0.018), and the horizontal distance between the lower kidney and the ureter(P=0.021) were the independent risk factors for the success rate of lithotripsy for kidney stones.Conclusion: For flexible ureterorenoscopy for lower pole stones in kidney, the lithotripsy efficiency and the effect of clearing stones depend not only on the hardness characteristics of the stones, but also the angle between the lower pole stones and the renal pelvis, horizontal distance between lower kidney and the ureter and other factors.
- flexible ureterorenoscopy /
- holmium laser lithotripsy /
- lower pole stones

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参考文献(16)

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