一期输尿管软镜手术治疗上尿路结石的回顾性研究

Flexible ureteroscopy lithotripsy without preoperative stent placement：a retrospective study

摘要:

目的：探索及验证一期输尿管软镜手术治疗上尿路结石的有效性及安全性，并总结围手术期患者管理及手术经验。方法：回顾性分析我科2016年11月至2017年9月拟行一期输尿管软镜手术治疗上尿路结石的269例患者资料，统计手术成功率、手术时间、并发症发生率、结石清除率等主要指标。结果：一期输尿管软镜治疗上尿路结石手术成功率为89.6%，平均手术时间40.3 min，并发症发生率6.2%，结石清除率92.5%。各项结果均令人满意，无威胁患者生命安全的严重并发症发生。结论：一期输尿管软镜手术治疗上尿路结石是安全、可行、有效的，且能够降低患者诊疗费用，值得广泛推广。

Abstract:

Objective：To investigate the efficacy and safety of flexible ureteroscopy lithotripsy without preoperative stent placement in the treatment of upper urinary tract calculi. Methods：The clinical data of 269 patients who were scheduled for flexible ureteroscopy lithotripsy without preoperative stent placement from November 2016 to September 2017 in our department were analyzed retrospec－tively. Results：The success rate of operation was 89.6%，while the mean operation time was 40.3 min. The complication rate was 6.2%，and the stone-free rate was 92.5%. Conclusion：Flexible ureteroscopy lithotripsy without preoperative stent placement is safe and effective，and it can decrease the medical cost，so it is worthy to be promoted.