局解手术学杂志2024，Vol.33Issue(12)：1077-1081,5.DOI:10.11659/jjssx.04E024122
输尿管结石处管壁厚度对输尿管镜碎石取石术临床效果的影响
Effect of ureteral wall thickness at the site of ureteral stones on the clinical efficacy of ureteroscopic lithotripsy
摘要
Abstract
Objective To investigate the effect of varying ureteral wall thickness(UWT)at the site of ureteral stones on the clinical efficacy of ureteroscopic lithotripsy(URL).Methods The clinical data of 164 patients with ureteral stones in our hospital were retrospectively analyzed.According to different UWT,the patients were divided into the mild thickening group(84 cases,UWT<3.16 mm),the moderate thickening group(31 cases,UWT 3.16 to 3.49 mm),and the severe thickening group(49 cases,UWT>3.49 mm),and the differences of clinical related indicators among the three groups were compared.Results The incidence of postoperative renal colic and leukocyte disorder in the mild thickening group and the moderate thickening group were lower than those in the severe thickening group,and the differences were statistically significant(P<0.05).The postoperative catheterization time in the mild thickening group and the moderate thickening group were shorter than that in the severe thickening group,and the incidences of secondary lithotripsy,residual stones and stone return to kidney in the mild thickening group and the moderate thickening group were lower than those in the severe thickening group,with statistically significant differences(P<0.05).The length of hospital stay and hospitalization cost in the mild thickening group and the moderate thickening group were shorter/less than those in the severe thickening group,with statistically significant differences(P<0.05).Conclusion With the increase of UWT(especially when UWT>3.49 mm),the incidence of postoperative complications and hospitalization cost of URL increase to varying degrees,and the surgical efficacy decreases.In clinical work,UWT measurement holds potential value in predicting the surgical efficacy and complications of URL.关键词
输尿管结石/输尿管壁厚度/输尿管镜碎石取石术/预测Key words
ureteral stones/ureteral wall thickness/ureteroscopic lithotripsy/prediction分类
医药卫生引用本文复制引用
蒲伟,朱元全,范世成,季健,吴知达,王亚飞,杨天参,陈旅阳,崔庆鹏,许栩,孙晓磊..输尿管结石处管壁厚度对输尿管镜碎石取石术临床效果的影响[J].局解手术学杂志,2024,33(12):1077-1081,5.基金项目
云南省教育厅科学研究基金项目(2021J0343) （2021J0343）
