CAJ | 학술논문

目的：：研究输尿管管路封堵器在输尿管镜钬激光碎石术中的临床应用价值。方法：回顾性分析郑州大学第一附属医院2013年2月至2014年2月收治的78例输尿管结石患者,对输尿管结石合并积水患者在F3输尿管导管引导下置入英诺伟(TMIVX-SCl0)输尿管封堵器封堵结石后钬激光碎石。结果：成功封堵的75例(96.2%)输尿管镜(ureteroscopy,URS)手术,一次性彻底击碎结石。未有效封堵的3例手术中,2例辅助体外冲击波碎石术( extracorporeal shock wave lithotripsy,ESWL),1例改经皮肾镜碎石术。手术时间为15~60 min,平均45.0 min；术后3~7 d出院,平均3.4 d；术中无输尿管穿孔、明显出血等严重并发症,结石清除率96.2%。结论：输尿管封堵器在输尿管镜下配合钬激光碎石能有效预防结石上移,明显提高清石率,安全性高,尤其对输尿管中上段结石疗效较好,值得临床推广。
목적：：연구수뇨관관로봉도기재수뇨관경화격광쇄석술중적림상응용개치。방법：회고성분석정주대학제일부속의원2013년2월지2014년2월수치적78례수뇨관결석환자,대수뇨관결석합병적수환자재F3수뇨관도관인도하치입영낙위(TMIVX-SCl0)수뇨관봉도기봉도결석후화격광쇄석。결과：성공봉도적75례(96.2%)수뇨관경(ureteroscopy,URS)수술,일차성철저격쇄결석。미유효봉도적3례수술중,2례보조체외충격파쇄석술( extracorporeal shock wave lithotripsy,ESWL),1례개경피신경쇄석술。수술시간위15~60 min,평균45.0 min；술후3~7 d출원,평균3.4 d；술중무수뇨관천공、명현출혈등엄중병발증,결석청제솔96.2%。결론：수뇨관봉도기재수뇨관경하배합화격광쇄석능유효예방결석상이,명현제고청석솔,안전성고,우기대수뇨관중상단결석료효교호,치득림상추엄。
Objective:To study the Application value of ureter occluder in holmium laser lithotripsy of ureteral calculi. Methods:78 patients with ureteral calculi treated in the First Affiliated Hospital of Zhengzhou University from February 2013 to February 2014 . Inno-wei ( TMIVX-SCl0 ) ureter occluder was used to block the ureter under the guidance of F3 ureteral catheter, and then holmi-um laser lithotripsy was done. Results: Calculi were one-time completely crushed in 75 patients (96. 2%) with successful closure. In three patients with uneffectively closure, two cases were as-sisted with ESWL surgery, one case was diverted to percutaneous nephrolithotomy. The operation time was 15~60 min, with an average of 45. 0 min; discharge time was 3~7 d after operation, with an average of 3. 4 d;there were no serious complications occurring in the operation, such as ureteral perforation, bleeding. The stone clearance rate was 96. 2%. Conclusion: The ureter oc-cluder was effective in preventing the movement of calculus with the cooperation of holmium laser lithotripsy of ureteral calculi, with high stone clearance rate and safety, especially for upper ureter-al calculi. It is worthy of clinical promotion.