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

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。

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 retrospectively. Results:The success rate of operation was 89.6%,while the mean operation time was 40.3 min. The complication rate was6.2%,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.