输尿管硬镜结合软镜鞘联合软镜治疗输尿管中上段结石的回顾性分析

摘要： 目的??探讨输尿管硬镜结合软镜鞘联合软镜治疗输尿管中上段结石的临床价值。方法 回顾性分析2014年11月-2016年8月确诊输尿管中上段结石住院患者，治疗组110例：先用输尿管硬镜经过软镜鞘碎石取石，再使用输尿管软镜通过软镜鞘碎石取石；对照组110例：采用传统直接用软镜经过软镜鞘碎石。两组患者在年龄、性别、结石大小和发病部位无差异（P >0.05），比较两组患者手术时间、结石处理时间、住院日、术后并发症及随访复发情况。结果 治疗组有效率为90.0%，高于对照组87.3%但差异无统计学意义（P >0.05）；在手术处理时间、结石处理时间和软镜使用台次上，治疗组明显高于对照组（P <0.05）；而住院时间、并发症发生比例在两组间差异无统计学意义（P >0.05）。结论 使用输尿管硬镜结合软镜及软镜鞘较传统软镜碎石方法，治疗效果好，复发率低，且能延长软镜的使用寿命，值得临床推广。
Abstract: Objective?To study the combination treatment of flexible/flexible sheath and rigid ureteroscopic lithotripsy (F-ul) for upper and middle ureteral stones.?Methods?The clinical data of patients diagnosed of upper and middle ureteral stones were collected. The treated group (110 cases): firstly treated with rigid ureteroscopic lithotripsy to broke and removed stones through flexible sheath, then the flexible ureteroscopic lithotripsy was used to broke and removed stones through flexible sheath; The control group (110 cases): traditional operation for ureter calculi. The clinical data was compared between the two groups.?Results?The effective ratio of treatment group is 90.0%, which was better than that of control group (87.3%) (P > 0.05). The operation time, stone processing time of treatment group were significantly shorter than those of control group (P < 0.05), and F-ul using time was significantly much more (P < 0.05). The hospitalization time and complication rate were no significantly difference between the two groups (P > 0.05).?Conclusion?The method of combining flexible/flexible sheath and rigid ureteroscopic lithotripsy for upper and middle ureteral stones was better than that of traditional operation, which worth to be popularize in clincal treatment.