中国内镜杂志2017，Vol.23Issue(3)：34-37,4.DOI:10.3969/j.issn.1007-1989.2017.03.007
双通道输尿管软镜与电子输尿管软镜行碎石手术的比较研究
Comparison of double-channel lfexible ureteroscopy and electronic lfexible ureteroscopy for lithotripsy
李天 1李逊 1何永忠 1杨敏龙 1殷羽飞 1盛明 2赖德辉 1杨炜青1
作者信息
- 1. 广州医科大学附属第五医院 泌尿外科,广东 广州 510700
- 2. 广州医科大学微创外科技术和产品转化中心,广东 广州 510700
- 折叠
摘要
Abstract
Objective To compare the efficiency and safety of double-channel flexible ureteroscopy and electronic flexible ureteroscopy.Methods From April 2007 to 2016 July, clinical data of 836 cases flexible ureteroscopic holmium laser lithotripsy were collected. All the patients were randomly divided into electronic lfexible ureteroscopy group (n = 427) and double-channel lfexible ureteroscopy group (n = 409), the operation time, success rate of surgery, complications, residual stone rate of the two groups were compared.Results The success rate of surgery was 92.5% and 83.6% of the two groups respectively, the difference was significant (P < 0.05); postoperative systemic inlfammatory response syndrome (SIRS) were occurred in 10 cases and 13 cases respectively, which were cured and the difference was not statistically significant (P > 0.05); the average operation time was (81.1 ± 7.9) min and (95.3 ± 7.6) min respectively, the difference was significant (P < 0.05); The formation of stone street of electronic lfexible ureteroscopy group and double-channel lfexible ureteroscopy group were 17 cases and 25 cases. The residual stone rate of electronic flexible ureteroscopy group and double-channel flexible ureteroscopy group were 6 cases and 8 cases, of them were cleared after extracorporeal shockwave lithotrips (ESWL). There were no difference between the two groups (P > 0.05).Conclusion Both double-channel lfexible ureteroscopy and electronic lfexible ureteroscopy are effective and safe therapeutic modalities. Electronic flexible ureteroscopy is better than double-channel lfexible ureteroscopy in success rate of surgery because of its high deifnition and lfexible operation.关键词
双通道输尿管软镜/电子输尿管软镜/肾结石Key words
double-channel lfexible ureteroscopy/electronic lfexible ureteroscopy/renal stones分类
医药卫生引用本文复制引用
李天,李逊,何永忠,杨敏龙,殷羽飞,盛明,赖德辉,杨炜青..双通道输尿管软镜与电子输尿管软镜行碎石手术的比较研究[J].中国内镜杂志,2017,23(3):34-37,4.
