[1]梁柯柯 尊金** 黄建洪 金刚 费翔.物理振动排石治疗输尿管软镜术后肾下盏残石[J].中国微创外科杂志,2022,01(1):45-47.
　Liang Ke,Ke Zunjin,Huang Jianhong,et al.Analysis of Curative Effect of External Physical Vibration Lithecbole for the Treatment of Residual Lower Calyceal Stones After Flexible Ureteroscopy[J].Chinese Journal of Minimally Invasive Surgery,2022,01(1):45-47.
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物理振动排石治疗输尿管软镜术后肾下盏残石()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2022年1期
页码:
45-47
栏目:
临床研究
出版日期:
2022-04-07

文章信息/Info

Title:
Analysis of Curative Effect of External Physical Vibration Lithecbole for the Treatment of Residual Lower Calyceal Stones After Flexible Ureteroscopy
作者:
梁柯柯 尊金** 黄建洪 金刚 费翔
（浙江省平湖市第一人民医院泌尿外科，平湖314200）
Author(s):
Liang Ke;  Ke Zunjin;  Huang Jianhong;  et al.
Department of Urology, First People’s Hospital of Pinghu, Pinghu 314200, China
关键词:
输尿管软镜; 体外物理振动排石; 肾下盏结石
Keywords:
Flexible ureteroscopy; External physical vibration lithecbole; Lower calyceal stone
文献标志码:
A
摘要:
目的探讨体外物理振动排石（external physical vibration lithecbole，EPVL）治疗输尿管软镜术后肾下盏残石的安全性和有效性。方法回顾性分析2019年1月~2021年1月80例输尿管软镜钬激光碎石术后肾下盏残石资料，患者选择排石方法，EPVL和传统排石各40例。2组残石负荷无统计学差异（P>0.05），比较2组清石率及术后并发症（发热、血尿、腰痛及尿外渗）。结果EPVL组术后3天、1周、2周和4周清石率均优于对照组，差异有统计学意义［14例（35.0%）vs. 6例（15.0%）, χ2=4.267,P=0.039；24例（60.0%）vs. 15例（37.5%）, χ2=4.053,P=0.044；33例（82.5%）vs. 25例（625%）, χ2=4.013,P=0.045；38例（95.0%）vs. 32例（80.0%）, χ2=4.114,P=0.043］。2组术后并发症差异无统计学意义（P>0.05）。结论物理振动排石治疗输尿管软镜术后肾下盏残石安全有效，可显著提高清石率。
Abstract:
ObjectiveTo explore the safety and effectiveness of external physical vibration lithecbole (EPVL) in the treatment of residual lower calyceal stones after flexible ureteroscopy. MethodsA retrospective study was made on 80 patients with residual lower calyceal stones after flexible ureteroscopic lithotripsy from January 2019 to January 2021. They were divided into either EPVL group (EPVL stone discharge) or control group (postoperative traditional stone discharge), with 40 cases in each group, depending on patient’s choice. There was no statistical difference in residual stone load between the two groups. The stone removal rate and postoperative complications (fever, hematuria, low back pain and urine extravasation) were compared between the two groups.ResultsThe stone removal rate of the EPVL group was better than that of the control group at 3 days, 1 week, 2 weeks and 4 weeks after operation ［14 cases (35.0%) vs. 6 cases (15.0%), χ2=4.267, P=0.039; 24 cases (60.0%) vs. 15 cases (375%), χ2=4.053, P=0.044; 33 cases (82.5%) vs. 25 cases (62.5%), χ2=4.013, P=0045; 38 cases (95.0%) vs. 32 cases (80.0%), χ2=4.114, P=0.043］. The postoperative complications in the two groups were not statistically significant (P>005).ConclusionEPVL is safe and effective for the treatment of residual renal calculus after flexible ureteroscopy, which can significantly increase the rate of stone removal.

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备注/Memo

备注/Memo:
基金项目：平湖市科技局项目（2020-28社发-17）**通讯作者，Email：kezunjin1972@126.com
更新日期/Last Update: 2022-04-07