摘要
目的研究负压吸引在输尿管上段结石中的应用价值。方法选取自2017年4月1日至2017年7月31日本院泌尿外科收治的80例输尿管上段结石患者的临床资料。将患者从1~80进行编号,单号分入负压吸引组,双号分入普通硬镜组,每组各40例;比较两组患者碎石率、手术持续时间、术后发热情况、术中出血情况、术后住院天数。结果两组患者年龄、性别分布、结石最大径、术前尿常规白细胞计数比较,差异均无统计学意义(P>0.05),术后分析手术一次清石成功率、手术持续时间、术后发热情况比较,负压吸收组均优于普通硬镜组,差异有统计学意义(P<0.05),且负压吸引鞘组能够在术中获得更加清晰的手术视野。两组患者在出血情况、术后住院天数方面,差异无统计学意义(P>0.05)。结论相对于普通硬镜,负压吸引鞘应用在输尿管上段结石中能在提高手术一次清石成功率的同时,能够缩短手术时间,减少术后发热情况的发生,手术视野受渗血影响较小,此外,负压吸引鞘组均保留结石标本,术后分析以指导患者长期饮食是一种安全、有效、经济、低风险的手术方法,值得广泛应用。
Objective To study the application value of negative pressure suction in the upper ureteral calculi. Methods Eighty patients with ureteral calculi in our hospital from April 2017 to July 2017 were treated with surgery. The patients were numbered from 1 to 80, the singular was divided into the negative pressure suction group, and the double number was divided into the ordinary ureteroscope group, 40 cases in each group. The removal rate, duration of surgery, the rate of using flexible ureteroscope, postoperative complications, hemorrhage, and palindromia were compared between the two groups. Results There were statistical differences in the duration of surgery and the rate of using flexible ureteroscope between the two groups (P<0.05). There were no statistical differences in the removal rate, hemorrhage, and postoperative complications between the two groups (P>0.05). Conclusions Compared with ordinary ureteroscope, negative pressure suction can be used in the upper ureteral calculi to reduce the operation time and reduce the rate of using flexible ureteroscope. The surgical field is less affected by blood oozing. In addition, all the stones were preserved in the negative pressure suction group. All the stones were analyzed after operation to guide the patient's long-term diet and reduce the possibility of calculi palindromia. Negative pressure suction is a safe, effective, economical and low risk surgical method and is worthy of wide application.
作者
许端雅
刘修恒
Xu Duanya;Liu Xiuheng(Department of Urology, the People's Hospital of Wuhan University, Wuhan 430060, China)
出处
《国际泌尿系统杂志》
2019年第3期392-396,共5页
International Journal of Urology and Nephrology
关键词
输尿管结石
输尿管镜检查
负压伤口疗法
Ureteral Calculi
Ureteroscopy
Negative-Pressure Wound Therapy
