[1]黄丽娟 李炯明 刘乔保 马鸿钧 自富春.输尿管软镜治疗不同大小肾下盏结石的比较[J].中华腔镜泌尿外科杂志(电子版),2015,(01):34-37.[doi:10.3877/cma.j.issn.1674-3253.2015.01.008 ]
　Huang LiJuan,Li Jiongming,Liu Qiaobao,et al.Flexible ureteroscopy in treating lower calyceal calculi[J].,2015,(01):34-37.[doi:10.3877/cma.j.issn.1674-3253.2015.01.008 ]
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输尿管软镜治疗不同大小肾下盏结石的比较()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2015年01期
页码:
34-37
栏目:
临床研究
出版日期:
2015-07-31

文章信息/Info

Title:
Flexible ureteroscopy in treating lower calyceal calculi
作者:
黄丽娟 1李炯明 2刘乔保 3马鸿钧 4自富春 1
650034 云南，云南结石病医院泌尿外科1；650101 昆明，昆明医科大学第二附属医院微创泌尿外科2；
Author(s):
Huang LiJuan 1;  Li Jiongming2;  Liu Qiaobao3;  Ma Hongjun4;  Zi Fuchun1.
Department of Urology, Yunnan Lithasis Hospital, Kunming 650032, China; 2Department of Urology: the Second Affiliated Hospital of Kumming Medical University, Kunming 650101, China；3Department of Urology: the First People's Hospital o
关键词:
输尿管软镜; 肾下盏结石; 疗效
DOI:
10.3877/cma.j.issn.1674-3253.2015.01.008
摘要:
目的探讨输尿管软镜治疗肾下盏结石的疗效及安全性。方法回顾分析 2009年 1月至 2013年 4月云南结石病医院行逆行输尿管软镜钬激光碎石取石术治疗肾下盏结石 98例，根据结石的大小将其分为两组： A组直径≥20 mm，共 42例；B组直径 <20 mm，共 56例。对两组的手术成功率、手术时间、并发症、辅助 ESWL治疗、再次手术率及结石清除率进行对比研究。结果两组间进镜成功率及碎石成功率无统计学差异（ P>0.05）；手术时间有统计学差异（ P<0.05）；术后明显肉眼血尿、发热、腰痛、腹胀等并发症的发生率两组有统计学差异（ P<0.05）；术后辅助 ESWL治疗及再次手术率两组有统计学差异（ P<0.05），术后 2个月结石清除率比较差异无统计学意义（ P>0.05）。结论输尿管软镜治疗肾下盏结石是一种安全、有效的微创方法，手术的疗效与结石的大小呈正相关，对于直径 <20 mm的肾下盏结石，手术疗效要明显优于直径≥20 mm结石。

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备注/Memo

备注/Memo:
基金项目：泌尿外科微创诊疗技术的研究及临床应用（CGPY201404）
通讯作者：李炯明，Email：jiongmingli@aliyun.com
更新日期/Last Update: 1900-01-01