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Received:July 16, 2021 Published Online:February 20, 2022
Received:July 16, 2021 Published Online:February 20, 2022
中文摘要: 目的 分析使用拦截网篮(N-Trap)输尿管硬镜激光碎石术(nURL)在治疗输尿管超上段结石时的临床疗效及安全性。方法 回顾性分析2017年1月到2020年12月于盐城市第一人民医院成功施行手术的165例单侧输尿管超上段结石患者的临床资料,按照手术方式分为nURL组(68例)、输尿管软镜碎石术(fURL)组(43例)和经皮肾镜碎石术(PCNL)组(55例),比较三组手术时间、术后住院时间、结石清除率以及术后严重并发症发生情况。结果 PCNL组术后住院时间及手术时间长于fURL组和nURL组,差异有统计学意义(P<0.05)。三组术后3 d和术后1个月结石清除率和术后严重并发症发生率差异无统计学意义(P>0.05)。结论 同fURL和PCNL手术相比,采用N-Trap的URL术处理输尿管超上段结石,也能取得良好的结石清除效果,且具有更短的手术时间和术后住院时间。
中文关键词: N-Trap拦截网篮 输尿管超上段结石 输尿管软镜碎石术 经皮肾镜碎石术
Abstract:Objective To analyze the clinical efficacy and safety of N-Trap assisted ureteroscopic lithtripsy(nURL) in the treatment of hyper-upper ureteral calculi. Methods A retrospective analysis was performed on clinical data of 165 patients with unilateral ureteral hyper-upper ureteral calculi who received successful operation at Yancheng NO.1 People's Hospital from January 2017 to December 2020. The patients were divided into three groups according to the operation method, including nURL group (n=68), flexible ureteroscopic lithtripsy(fURL)group (n=43), and percutaneous nephrolithotomy(PCNL) group (n=55). The operation time, postoperative hospital stay, stone clearance rate and the occurrence of serious postoperative complications were compared among the three groups. Results The postoperative hospital stay and operation time in the PCNL group were longer than those in the fURL group and nURL group (P<0.05). There was no significant difference in stone clearance rate and serious postoperative complications between 3 days after surgery and one month after surgery (P>0.05). Conclusion Compared with fURL and PCNL surgery, use of nURL to treat hyper-upper ureteral calculi can also achieve a good stone removal effect, and has a shorter operation time and postoperative hospital stay.
keywords: N-Trap stone-resistance basket Hyper-upper ureteral calculi Flexible ureteroscopic lithtripsy Percutaneous nephrolithotomy
文章编号: 中图分类号:R693+.4 文献标志码:B
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