42.0?cm短软镜治疗女性上尿路结石的临床效果观察

Clinical effect of 42.0 cm FURS on female urolithiasis

摘要:

摘要：目的??探讨42.0?cm短软镜治疗女性上尿路结石的临床效果。方法? 2015年5月-2017年10月40例输尿管上段结石或肾结石女患者，于该院住院行42.0?cm短软镜碎石术，该组患者结石直径2.0～3.0?cm，分析该组患者的手术时间、出血量和术后并发症发生率等指标，以评估42.0?cm短软镜治疗女性上尿路结石的优越性。结果?该组患者均Ⅰ期顺利实施手术，手术时间50～60?min，平均55?min，碎石时间25～35?min，平均30?min，术者操作舒适度明显改善，术中无明显出血。术后1个月复查CT或尿路平片，结石清石率95.0%，无明显并发症发生。结论?42.0?cm短软镜治疗女患者上尿路结石有一定优势，较传统70.0?cm常规软镜可操作性明显改善，术者舒适度提高。无明显手术并发症发生，清石效率无明显差异，适合手术量较大单位。并能使连台手术术者疲劳度降低。

Abstract:

Abstract: Objective?To investigate the clinical effect of 42.0 cm FURS on female urolithiasis.?Methods?From May 2015 to October 2017, 40 female patients with upper ureteral calculi or nephrolithiasis were treated with 42?cm FURS lithotomy. The diameter of stones in this group was 2.0?~?3.0?cm. Then analyze the operation time, blood loss, the incidence of postoperative complications and other indicators to assess the superiority of 42.0?cm FURS treatment of upper urinary tract stones in female.?Results?The patients in operation were successfully performed in stage I, the operation time was 50?~?60?min, the average time was 55 min, the lithotripsy time was 25?~?35 min, average 30?min. The comfort of the surgery was significantly improved and no obvious hemorrhage during operation. After one month review of CT or urinary tract plain film, stone clear rate of 95.0%, no significant complications occurred.?Conclusion?42.0?cm FURS treatment of upper urinary tract stones have some advantages over the traditional 70 cm conventional FURS operability significantly improved. The surgeon’s comfort improved significantly. No significant complications occurred, with no significant difference in stone clear efficiency, suitable for large units of surgery.