中国医学创新Issue(24):8-10,11,4.DOI:10.3969/j.issn.1674-4985.2014.24.003
NTRAP阻石篮在输尿管上段结石治疗中的疗效分析
Analysis of NTRAP Retrieval Basket in Therapeutic Effect of Upper Ureteral Stone
摘要
Abstract
Objective:To evaluate the efficacy and safety of NTRAP Retrieval Basket in ureteroscopic Holium laser lithotripsy for upper ureteral stone.Method:From January 2010 to April 2014,50 cases of upper ureteral stone were selected,and they were randomly divided into the NTRAP group(n=19)and the control group(n=31). The NTRAP group was treated with ureteroscope insert through the ureter to find stones aided by zebra guide wire,and then NTRAP retrieval basket was placed in the working channel of ureteroscope.When stones were crushed into fragments of 1-2 mm in diameter by lumenis holmium laser,the device was removed. The Double-J tube was placed.X ray was conducted and Double-J tube was retained in all the patients for 1-3 months postoperatively.The lumenis holmium laser without NTRAP retrieval basket was used in the control group.Result:One-time gravel success rate of the NTRAP group was 89.4%, and was higher than the 74.2%in the control group,there was significant difference(P<0.05). The hospitalization days and operation time in the NTRAP group were better than the control group(P<0.05). The NTRAP group was no stone shift,the control group had 6 cases. There were no serious postoperative complications of two groups .Conclusion:The application of NTRAP retrieval basket in ureteroscopic holium laser lithotripsy for upper ureteral stone is a highly effective and safe therapy and one-time gravel success rate is more higher. It can prevent stones from drifting during lithotripsy.关键词
输尿管镜/输尿管结石/钬激光/NTRAP阻石篮Key words
Ureteroscope/Ureteral stone/Holium laser/NTRAP retrieval basket引用本文复制引用
陈兵海,孙浩,张顺兴,郭涛,吴永平..NTRAP阻石篮在输尿管上段结石治疗中的疗效分析[J].中国医学创新,2014,(24):8-10,11,4.基金项目
江苏省卫生厅重大项目(Q201408);湖南省卫生厅项目资助 ()