孙氏镜联合输尿管硬镜同期治疗同侧输尿管结石和肾结石的疗效观察

Therapeutic effect of Sun's mirror combined with ureteral rigid mirror on ipsilateral ureteral stones and kidney stones

摘要:

目的 评估孙氏镜联合输尿管硬镜同期治疗同侧输尿管结石和肾结石的安全性和有效性。方法 选取需手术治疗的输尿管中下段结石合并肾结石患者56例作为研究对象，采用随机数字化法分为实验组（同期31例）和对照组（不同期25例），统计两组患者一般资料（年龄、性别、结石负荷、结石位置和肾结石CT值）、上镜成功率、结石寻及率、碎石成功率、总手术时间、手术并发症、术后住院天数、住院总费用和结石清除率（SFR）。结果 两组患者上镜成功率[93.55%（29/31）和100.00%（25/25）]、结石寻及率[90.32%（28/31）和100.00%（25/25）]、碎石成功率[87.10%（27/31）和92.00%（23/25）]、手术并发症发生率[20.69%（6/29）和12.00%（3/25）]和术后第4周SFR[74.19%（23/31）和80.00%（20/25）]比较，差异均无统计学意义（P > 0.05）；手术总时间[（91.46±15.33）和（108.03±10.26）min]、术后住院天数[（3.54±1.08）和（6.02±2.06）d]和住院总费用[（17 235.48±1 352.36）和（21 537.05±1 036.27）元]比较，差异均有统计学意义（P < 0.05）。结论 孙氏镜联合输尿管硬镜同期治疗同侧输尿管中下段结石合并肾结石安全、有效。

Abstract:

Objective To evaluate the safety and effectiveness of simultaneous treatment of ipsilateral upper urinary calculi with Sun's mirror combined with hard ureteroscope.Methods 56 patients with ureteral and middle ureteral stones and kidney stones requiring surgical treatment were selected as the research objects. They were divided into two groups by random digitization method. The experimental group consisted of 31 patients in the same period and the control group included 25 patients in different periods. Statistics the general data of two groups(age, gender ratio, stone load, stone location, kidney stone CT value), photogenic success rate, stone finding rate, lithotripsy success rate, total operation time, surgical complications, postoperative hospitalization days, total hospitalization costs, stone removal rate (SFR).Results The difference between the two groups that photographic success rate [93.55% (29/31) vs 100.00% (25/25)], stone finding rate [90.32% (28/31) vs 100.00% (25/25)], lithotripsy success rate [87.10% (27/31) vs 92.00% (23/25)], and SFR at 4 weeks after operation(74.19% (23/31) vs 80.00% (20/25)] were no statistically significant (P > 0.05). The total operation time [(91.46 ± 15.33) min vs (108.03 ± 10.26) min], surgical complications [20.69% (6/29) vs 12.00% (3/25)], the postoperative hospital stays [(3.54±1.08) d vs (6.02 ± 2.06) d] and the total cost of hospitalization [(17 235.48 ± 1 352.36) yuan vs(21 537.05 ± 1 036.27) yuan] were compared between the two groups, the difference were statistically significant(P < 0.05).Conclusion Sun's mirror combined with ureteral rigid mirror for the simultaneous treatment of middle and lower ureteral stones with renal stones in the same side is safe and effective.