摘要
目的:输尿管结石患者分别采用输尿管硬镜碎石术与软镜碎石术治疗,评价术后尿道狭窄发生及治疗情况。方法:256例输尿管结石患者,按照随机数字表法分为两组,分别采用输尿管硬镜碎石术(A组)148例和软镜碎石术(B组)108例手术,中位随访时间为36个月。结果:两组患者术后尿道狭窄发生率(A组25例,B组8例),A组显著高于B组(P<0.05),且A组患者尿道狭窄段更长(P<0.05)。患者采用了尿道扩张或内镜下冷刀切开手术治疗,手术效果良好,而B组患者最大尿流率改善更加显著(P<0.05)。结论:两种手术方式在术后尿道狭窄发生率方面,输尿管软镜组患者发生率更低,且在改善尿道狭窄病情及获得良好疗效方面更具优势。
Objective:To assess the postoperative urethral stricture between ureteroscopy lithotripsy and flexible ureteroscopy lithotripsy for ureteral calculi.Method:256 cases of ureteral calculi were randomly divided into two groups.148 cases underwent ureteroscopy lithotripsy(A group),and 108 cases underwent flexible ureteroscopy lithotripsy(B group).They were followed up(median follow-up=36 months).Result:25 cases occurred urethral stricture in A group,and 8 cases occurred urethral stricture in B group,A group was significantly higher than that of B group(P〈0.05).And the length of urethral stricture were significantly extended in A group compared with B group(P〈0.05).The patients underwent urethral dilatation or internal urethrotomy, and the effect were satisfactory,the maximum urine flow rate were significantly better in B group(P〈0.05).Conclusion:In the aspect of postoperative urethral stricture,A group was significantly higher than that of B group.It has a better effect in improving the condition of urethral stricture and obtaining good treatment effect.
出处
《中外医学研究》
2015年第34期12-15,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
输尿管结石
尿道狭窄
输尿管硬镜碎石术
输尿管软镜碎石术
Ureteral calculi
Urethral stricture
Ureteroscopy lithotripsy
Flexible ureteroscopy lithotripsy