[1]单保华① 向振东 龚年东 李锬 易成 汪萌 叶凤 李爱军*.电子输尿管软镜与纤维输尿管软镜联合钬激光治疗肾结石的对比研究[J].中国微创外科杂志,2021,01(7):629-633.
　Shan Baohua,Xiang Zhendong*,Gong Niandong*,et al.A Comparative Study Between Digital and Fiberoptic Flexible Ureteroscopy Combined With Holmium Laser Lithotripsy for Renal Calculi[J].Chinese Journal of Minimally Invasive Surgery,2021,01(7):629-633.
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电子输尿管软镜与纤维输尿管软镜联合钬激光治疗肾结石的对比研究()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2021年7期
页码:
629-633
栏目:
临床研究
出版日期:
2021-07-25

文章信息/Info

Title:
A Comparative Study Between Digital and Fiberoptic Flexible Ureteroscopy Combined With Holmium Laser Lithotripsy for Renal Calculi
作者:
单保华① 向振东 龚年东 李锬 易成 汪萌 叶凤 李爱军*
（三峡大学人民医院宜昌市第一人民医院泌尿外科，宜昌443000）
Author(s):
Shan Baohua;  Xiang Zhendong*;  Gong Niandong*;  et al.
*Department of Urology, People’s Hospital of China Three Gorges University, First People’s Hospital of Yichang, Yichang 443000, China
关键词:
电子输尿管软镜; 纤维输尿管软镜; 肾结石; 钬激光
Keywords:
Digital flexible ureteroscopy; Fiberoptic flexible ureteroscopy; Renal calculi; Holmium laser
文献标志码:
A
摘要:
目的比较电子输尿管软镜与纤维输尿管软镜联合钬激光治疗肾结石的碎石效果及安全性。方法选择2017年1月～2019年10月我院131例肾结石，其中68例采用Olympus URFⅤ电子输尿管软镜治疗（DFU组），63例予Olympus URFP5纤维输尿管软镜治疗（FFU组），比较2组手术时间、术后住院时间、住院费用、手术成功率、结石清除率及并发症等。结果DFU组手术时间明显短于FFU组［（71.6±21.0）min vs.（82.0±25.9）min，t=-2.545,P=0.012］，DFU组结石清除率明显高于FFU组［91.2%（62/68） vs.77.8%（49/63）， χ2=4538,P=0.033］。2组术后住院时间中位数［4（2～12）d vs. 4（2～10）d，Z=-0.660，P=0.509］、住院费用［(14 845.6±2347.8)元 vs.(15 171.2±2974.9)元，t=-0.698，P=0486］、手术成功率［95.6%（65/68） vs. 93.7%（59/63）， χ2=0.011，P=0.917］差异均无统计学意义。DFU组与FFU组术后血尿［5.9%（4/68） vs.9.5%(6/63)， χ2=0.207，P=0.649］、全身炎性反应综合征［5.9%（4/68）vs. 4.8%(3/63)， χ2=0.000，P=1.000］、输尿管石街形成［2.9%（2/68） vs. 3.2%(2/63)， χ2=0.000，P=1.000］、总并发症［147%（10/68）vs.17.5%(11/63)， χ2=0.184，P=0.668］差异均无统计学意义。 结论电子输尿管软镜与纤维输尿管软镜联合钬激光治疗肾结石均安全、有效。与纤维输尿管软镜比较，电子输尿管软镜手术时间更短，结石清除率更高，值得推广应用。
Abstract:
ObjectiveTo compare the efficiency and safety of digital flexible ureteroscopy（DFU） and fiberoptic flexible ureteroscopy(FFU) combined with holmium laser lithotripsy for renal calculi.MethodsA total of 131 patients with renal calculi in our hospital from January 2017 to October 2019 were investigated, among which 68 cases were treated with Olympus URFⅤ DFU (DFU group), and 63 cases were treated with Olympus URFP5 FFU (FFU group). The operation time, postoperative hospitalization days, hospital costs, success rate of surgery, stonefree rate and complications of the two groups were compared. ResultsAs compared with the FFU group, the DFU group showed shorter operation time ［(71.6±21.0)min vs. (82.0±25.9)min, t=-2.545, P=0.012］, higher stonefree rate ［912%(62/68) vs. 77.8%(49/63), χ2=4.538, P=0.033］. No significant differences were found in postoperative hospitalization days ［4(2-12) d vs. 4(2-10) d, Z=-0.660, P=0.509］, hospital costs ［(14 845.6±2347.8) yuan vs. (15 171.2±2974.9) yuan, t=-0.698, P=0.486］ and success rate of surgery ［95.6%(65/68) vs. 93.7%(59/63), χ2=0011, P=0.917］ between the two groups． There were no significant differences between the DFU group and FFU group in hematuria ［5.9% (4/68) vs. 9.5% (6/63), χ2=0.207, P=0.649］, systemic inflammatory response syndrome ［5.9% (4/68) vs. 4.8% (3/63), χ2=0.000, P=1.000］, steinstrasse ［2.9% (2/68) vs. 3.2% (2/63), χ2=0.000, P=1.000］ and total postoperative complications ［14.7% (10/68) vs. 17.5% (11/63), χ2=0.184, P=0.668］.ConclusionsBoth digital flexible ureteroscopy and fiberoptic flexible ureteroscopy are effective and safe in treatment of kidney stones. However, DFU has shorter operation time and higher stonefree rate as compared with FFU, being worthy of clinical promotion．

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备注/Memo

备注/Memo:
*通讯作者, Email:lajyc666@163.com ①（湖北省秭归县人民医院泌尿外科，秭归443600）
更新日期/Last Update: 2021-10-11