头低臀高位治疗输尿管上段结石的效果

Effect of head-low and hip-high position in the treatment of upper ureteral calculi

目的研究头低臀高位治疗输尿管上段结石较传统体位输尿管镜下激光碎石的临床效果。方法选取2013年1月~2016年1月在徐州市中心医院行输尿管镜下钬激光碎石术的输尿管上段小结石患者70例。根据随机数字表法将患者分为两组:头低臀高位输尿管镜下钬激光碎石组(实验组,35例),传统体位输尿管镜下钬激光碎石组(对照组,35例)。比较两组手术时间、术后住院时间、结石上移、手术并发症和碎石成功情况。结果两组患者基线资料除体重指数外,差异无统计学意义(P>0.05)。两组手术时间、术后住院时间、手术并发症、结石上移情况比较,差异无统计学意义(P>0.05);实验组碎石成功率高于对照组(P<0.05)。结论对于输尿管上段结石的治疗,采用头低臀高位在不提高其他并发症的基础上,碎石成功率要高于传统体位输尿管镜下激光碎石。

Objective To research clinical effect between head-low hip-high position and traditional position in the treatment of upper ureteral calculi. Methods 70 patients with upper ureteral calculi treated with ureteroscopic holmium laser lithotripsy from January 2013 to January 2016 in Xuzhou Central Hospital were selected. The patients were divided into two groups： head-low hip-high position ureteroscopic holmium laser lithotripsy group （experimental group, 35 cases） and traditional position holmium laser lithotripsy group （control group, 35 cases） according to random number table method. Operation time, postoperative hospital stay, stones up, surgical complications and gravel success between two groups were compared. Results There was no significant difference on baseline data in addition to body mass index between two groups （P 〉 0.05）. There were no significant difference between two groups in operation time, postoperative hospital stay, surgical complications, stone uptake （P 〉 0.05）. The success rate of crushed stone in experimental group was higher than that in control group （P 〈 0.05）. Conclusion For the treatment of upper ureteral calculi, the success rate of head- low hip-high position is higher than that of traditional position without the improvement of other complications.