输尿管镜联合结石封堵导管治疗输尿管上段结石.docVIP

输尿管镜联合封堵取石导管治疗输尿管上段结石的对比研究 蓝建华，唐培金，唐贤富，徐小涵，郑兴明，夏吉朴 四川省广安市人民医院泌尿外科，四川广安638000 ［摘要］目的：研究输尿管镜联合英诺伟TMIVX-SC10/07 堵取石导管治疗输尿 管上段结石的有效性及安全性。 方法：回顾性分析输尿管镜联合封堵取石导管配合伙激光治疗组（A组， 40例）与输尿管镜配合钦激光治疗组（B组，35例）的手术时间、并发症、残 石率及影响因素。 结果：两组碎石成功率主要与结石具体位置及有无息肉包裹相关，A组在 手术时间及残石率方面明显优于B组，两组均无明显并发症。 结论：输尿管镜联合封堵取石导管，能够更有效治疗输尿管上段结石，特 别是位于紙骼关节上缘?L3段结石。 ［关键词］封堵取石导管；钦激光碎石；输尿管镜 ［屮图分类号］R693. 4 Comparison of ureteroscopic blocking innovex TMIVX?SC 10/07 ureteral occlusion device in the treatment of Upper ureteral calculi LAN Jian-hua, TANG Pei-jin, TANG Xian-fu, XU xiao-han, ZHEN Xin-min, XIA Ji-pu Guang*an City, Sichuan Province Peoples Hospital Department of Urology, Guangfan 638000 ［Abstract］ Objective: To research eflectiveness and safety of joint innovex TMIVX-SC 10/07 ureteral occlusion device and ureteroscopy in the treatment of upper ureteral calculi. Methods: Retrospective analysis of innovex TMIVX-SC 10/07 ureteral occlusion device and ureteroscopy with holmium laser group （A group, 40 cases） and ureteroscopy with holmium laser treatment group （B group, 35 cases） operative time, complications, and residual rate and influencing factors. Results: The success rate of the two groups mainly gravel and stones wrapped in the specific location and the presence of polyps related, A group in operation time and residual rate was superior in group B, the two groups had no significant complications. Conclusion: Joint innovex TMIVX-SC 10/07 ureteral occlusion device and ureteroscopy can more effectively with upper ureteral stones, especially those located on the edge of the sacroiliac joint ? L3 segments stones. ［Key words］ TMIVX-SC 10/07 ureteral occlusion device; holmium laser lithotripsy; ureteroscopy 作者简介：蓝建华（1981-）,男，硕士研究生，主治医师，主要从爭泌尿系结石基础与临床方面的研究， E-mail: 1 i hdoctor@yeah ? net 通信作者：唐贤富,男,副主任医师,电话:（0826）2600292 基金项目:四川省卫生厅科研项目（100177） 输尿管丄段结石是一种较常见的泌尿系结石，随着腔镜微创技术的发展， 绝大部分结石都能通过输尿管镜碎石、经皮肾镜碎石以及腹腔镜下输尿管切开取 石等手术方式治疗図。对于输尿管上段结石，采用经皮肾镜碎石或腹腔镜下切开 取石创伤常常较大，住貌时间较长，而输尿管傥下铁激光碎石虽然较英他术式创 伤小，但容易将结石冲人肾盂或碎石渣难以排除，往往不