中国内镜杂志2018，Vol.24Issue(2)：33-37,5.DOI:10.3969/j.issn.1007-1989.2018.02.007
输尿管负压吸引鞘在输尿管软镜碎石术中的价值探讨
Application of ureteral access sheath with vacullm suction during fexible ureteroscopy lithotripsy in treatment of renal stones
李天 1盛明 2李逊 1江先汉 1刘一帆 1赖德辉 1何永忠1
作者信息
- 1. 广州医科大学附属第五医院 泌尿外科,广州 广东 510700
- 2. 广州医科大学 微创外科技术和产品转化中心,广州 广东 510700
- 折叠
摘要
Abstract
Objective To investigate the safety and efficacy of ureteral access sheath (UAS) with vacullm suction during flexible ureteroscopy lithotripsy in treatment of renal stones. Methods 96 cases of renal stones patients who received flexible ureteroscopy lithotripsy were retrospectively analyzed and divided into two groups:control group with 50 cases and treatment group with 46 cases. The stones free rate, operation time, intrapelvic pressure, renal colic, formation of steinstrasse, SIRS, Calcitonin Zymogen, leukocyte count, hospitalization time, hospitalization costs and treatment efficiency were evaluated after one month. Results The average, maximum and minimum intrapelvic pressure of treatment group was much lower than that of control group (P < 0.05); After one month, the treatment efficiency and stones free rate of control group was 70.0% and 82.0%, lower than that of treatment group (P < 0.05); The operation time of control group and treatment group was(108.6 ± 3.5) min, (86.3 ± 5.2) min (P < 0.05); The cases of renal colic, steinstrasse and SIRS of control group after treatment was 13 cases, 11 cases, 10 cases which was more than that of treatment group with 2 cases respectively (P < 0.05); The hospitalization time, hospitalization costs of control group and treatment group was (8.8 ± 1.1) d, (23 067.5 ± 392.8) RMB and (7.7 ± 1.2) d, (21 957.3 ± 378.6) RMB (P < 0.05); The Calcitonin Zymogen, leukocyte count of control group and treatment group was (1.5 ± 0.3) and (0.3 ± 0.1) ng/ml, (14.6 ± 0.5)×109/L and (6.4 ± 0.6)×109/L (P < 0.05). Conclusion The application of ureteral access sheath with vacullm suction during flexible ureteroscopy lithotripsy in treatment of renal stones was simple, safe and effective, and can shorten the operation time, improve the rate of clearing stone and treatment efficiency, reduce the incidence of adverse reactions. The application can be extended.关键词
输尿管负压吸引鞘/输尿管软镜碎石术/肾结石Key words
ureteral access sheath with vacullm suction/flexible ureteroscopy lithotripsy/renal stones分类
医药卫生引用本文复制引用
李天,盛明,李逊,江先汉,刘一帆,赖德辉,何永忠..输尿管负压吸引鞘在输尿管软镜碎石术中的价值探讨[J].中国内镜杂志,2018,24(2):33-37,5.
