摘要
目的探讨术前留置双J管对输尿管软镜碎石术一期手术成功率、手术时间等的影响。方法回顾性研究我科自2014年1月至2015年8月因肾结石或输尿管上段结石行经输尿管软镜钬激光碎石术的患者98例。按术前留置双J管3~5 d后行输尿管软镜碎石和术前未留置双J管直接行软镜碎石分为两组。分析比较两组一期手术成功率、手术时间、术后并发症、术后住院时间及住院费用的差别。结果术前留置双J管3~5 d再行输尿管软镜碎石组与术前未留置双J管直接行输尿管软镜碎石组相比一期手术成功率分别为98%(49/50)和89.6%(43/48)(P>0.05),差异无统计学意义;手术时间分别为(44±13)min和(54±12)min(P<0.05),差异有统计学意义;住院费用分别为(20 183±3 426)元和(15 655±3 542)元(P<0.05),差异有统计学意义;在术后并发症及术后住院时间方面差异无统计学意义。结论术前留置双J管3~5 d再行输尿管软镜碎石组与未留置双J管组的手术成功率相当;术前留置双J管可明显缩短软镜碎石手术时间,效果肯定。
Obiective To investigate the effect of preoperative indwelling double J stent for flexible ureteroscopic lithotripsy. Methods Ninety-eight patients with renal calculi or ureteral calculi treated by flexible ureteroscopic lithotripsy in our hospital from January 2014 to August 2015. The patients were divided into two groups according to whether received indwelling double J stent 3-5 days before operation. The difference of successful rate, operation time, postoperative complications, hospitalization time and cost were analyzed. Results The operation time of the group received indwelling double J stent 3-5 days was shorter [（44±13） min vs （54±12） min, P〈0.05], but got more expensive hospitalization cost [（20 183±3 426） yuan vs （15 655±3 542） yuan, P〈0.05]. There were no significant differences in the success rate [98%（49/50） vs 89.6%（43/48）, P〉0.05], postoperative complications and postoperative hospitalization time between the two groups. Conclusion The preoperative indwelling double J stent can significantly shorten the operation time of flexible ureteroscopy, but the effect on flexible ureteroscopy success rate needs further study.
出处
《中华腔镜泌尿外科杂志（电子版）》
2017年第2期41-44,共4页
Chinese Journal of Endourology(Electronic Edition)
关键词
肾结石
输尿管软镜
双J管
Renal stone
Flexible Ureteroscopy
Double J stent
