硬性输尿管镜联合软性输尿管镜治疗输尿管中上段结石合并同侧肾结石的临床疗效对比OA
Comparison of Clinical Efficacy of Rigid Ureteroscope Combined with Flexible Ureteroscope in the Treatment of Upper and Middle Ureteral Stones with Ipsilateral Kidney Stones
目的:研究硬性+软性输尿管镜治疗对输尿管中上段结石合并同侧肾结石患者的影响.方法:回顾性研究,2023 年 1月—2024 年 12 月经深圳市宝安区石岩人民医院收治选取病患 112 例,为临床资料,均确诊输尿管中上段结石合并同侧肾结石且进行手术治疗,根据手术方法分为两组,对照组(56 例)采用经尿道输尿管镜钬激光碎石术,观察组(56 例)采用经尿道输尿管软镜联合输尿管硬镜钬激光碎石术.比较两组手术指标、术后并发症率、结石清除率、结石再次发生率及二次结石手术率.结果:两组手术耗时进行比较,差异无统计学意义(P>0.05).两组术中失血量、住院时间进行比较,观察组优于对照组;两组结石清除率进行比较,观察组优于对照组;两组术后并发症发生率、结石再次发生率与二次清石手术率进行比较,观察组优于对照组,差异均有统计学意义(P<0.05).结论:硬性输尿管镜联合软性输尿管镜可有效治疗输尿管中上段结石合并同侧肾结石,术中失血量少,住院时间短,术后并发症少,结石清除率大,结石再次发生率、二次清石手术率小,值得临床推广应用.
Objective:To study the effect of rigid and flexible ureteroscopy on patients with upper and middle ureteral calculi complicated with ipsilateral kidney calculi.Method:In this retrospective study,112 patients were selected and admitted to the Shenzhen Bao’an Shiyan People's Hospital from January 2023 to December 2024.All of them were diagnosed with upper and middle ureteral calculi with ipsilateral kidney calculi,and were treated by surgery.According to the surgical methods,they were divided into two groups,the control group(56 cases)was treated with transurethral ureteroscopic holmium laser lithotripsy,and the observation group(56 cases)was treated with transurethral ureteroscopy combined with rigid ureteroscopy.The surgical indicators,postoperative complication rate,stone clearance rate,recurrence rate of stones,and rate of secondary stone surgery were compared between the two groups.Result:The operation time between the two groups was compared,and there was no statistically significant difference(P>0.05).The intraoperative blood loss and hospitalization time of the two groups were compared,and the observation group was better than the control group.The stone clearance rate of the two groups was compared,and the observation group was better than the control group.The incidence of postoperative complications and recurrence of stones in the two groups were compared with the rate of secondary lithotripsy,and the observation group was better than the control group,and there were statistically significant differences.The statistics showed that it was significant(P<0.05).Conclusion:Rigid ureteroscope combined with flexible ureteroscope can effectively treat upper and middle ureteral calculi with ipsilateral kidney calculi,with less blood loss,shorter hospitalization time,fewer postoperative complications,higher stone clearance rate,lower recurrence rate of stones and lower rate of secondary lithotripsy,which is worthy of clinical application.
张扬;曾静
深圳市宝安区石岩人民医院 广东 深圳 518108深圳市宝安人民医院集团第二人民医院,汕头大学医学院宝安临床学院
输尿管中上段结石合并同侧肾结石经尿道输尿管镜钬激光碎石术经尿道输尿管软镜输尿管硬镜
Upper and middle ureteral stones combined with ipsilateral kidney stonesTransurethral ureteroscopy holmium laser lithotripsyTransurethral flexible ureteroscopeUreteroscope
《中外医学研究》 2026 (6)
20-23,4
2023 年宝安区医疗卫生科研项目(2023JD050)2023 年深圳市宝安区石岩人民医院院级科研计划项目(2023SY10)
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