| 朱轶勇,孙 丰,张 琦,邵 怡,鲁 军,李维国,夏术阶,凌桂明.应用管路封堵器处理输尿管上段结石的随机对照研究[J].,2017,17(1):166-169 |
| 应用管路封堵器处理输尿管上段结石的随机对照研究 |
| Randomized Controlled Study on Application of Pipeline Occluder in the Treatment of Upper Ureteral Calculi |
| 投稿时间：2016-06-05 修订日期：2016-06-26 |
| DOI：10.13241/j.cnki.pmb.2017.01.043 |
| 中文关键词: 管路封堵器 输尿管结石 输尿管镜碎石 |
| 英文关键词: Pipeline occlude Ureteral calculi Ureteroscopic lithotripsy |
| 基金项目:国家自然科学基金青年基金项目（81301037）；中国博士后科学基金项目（2015M572683）；
军队"2110" 工程野战外科学教改课题（YZWKJG08） |
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| 中文摘要: |
| 摘要 目的：研究辅助使用管路封堵器后，采用输尿管镜下碎石术处理输尿管上段结石的效果及安全性。方法：选取自2012年6月至2013年2月需输尿管镜处理输尿管上段结石的病例198例，随机分为应用管路封堵器组98例和对照组100例。封堵器组术中输尿管镜发现结石后，封堵器组患者使用英诺伟IVX-SC10型管路封堵器超越结石远端封堵结石，再予钬激光碎石，对照组术中输尿管镜发现结石后，直接予钬激光碎石，术后留置双J管2至4周。记录并随访患者输尿管镜术后结石清除率及肾脏出血相关并发症。结果：管路封堵器组碎石成功率95.9 %（94/98），对照组碎石成功率81.0 %（81/100），两组有统计学差异（P=0.0011）。碎石成功后管路封堵器组出现3例（3.2 %）肾脏破裂出血，而对照组无肾脏破裂出血，两组无统计学差异（P=0.1048）。结论：辅助应用管路封堵器能提高输尿管镜对于输尿管上段结石的碎石成功率；其使用并没有增加术后肾脏出血并发症的发生。 |
| 英文摘要: |
| ABSTRACT Objective: To assess the efficiency and safety of assistant using pipeline occluder with ureteroscopic lithotripsy in the treatment of upper ureteral calculi. Methods: From June 2012 to 2013 February, 198 cases of upper ureteral calculi were divided into us- ing pipeline occluder group (98 cases) and control group (100 cases). In the pipeline occlude group, Yingnuowei IVX-SC10 type pipeline occluders were put into the distal side of the calculus before holmium laser lithotripsy. In the contrast group, holmium laser lithotripsy was applied without pipeline occlude. The double-J tube was indwelled 2 to 4 weeks postoperatively. The successful rate of lithotripsy and the incidence of renal hemorrhage related to operation was observed and recorded. Results: The successful rate of lithotripsy was 95.9 % (94/98) in the pipeline occluder group and 81.0 % (81/100) in the control group with significant difference between two groups (P=0.0011). After lithotripsy, 3 cases(3.2 %) in the pipeline occluder group appeared hemorrhagic complication due to rupture of kid- ney, while the control group had no rupture of kidney, and there was no significant difference between two groups (P=0.1048). Conclusion: The assitant application of pipeline occluder can improve the successful rate of lithotripsy of upper ureteral calculi and it does not in- crease the incidence of hemorrhagic complication due to renal rupture. |
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