CAJ | 학술논문

目的：评价封堵取石导管在输尿管镜上段碎石术中的应用价值。方法回顾性分析使用封堵取石导管行输尿管镜上段碎石治疗62例（ A组）及单纯行输尿管镜上段碎石治疗58例（ B组）的临床资料，就两组结石清除率、手术时间、术中出血量、住院天数及并发症等指标进行比较。结果两组结石清除率有显著性差异（ P ＜0．05）；在手术时间、术中出血量、住院天数及并发症等方面差异无统计学意义（ P ＞0．05）。结论输尿管镜上段碎石术中联合使用封堵取石导管能增加结石清除率，提高手术成功率，增加患者满意度，不增加手术时间、出血量、住院天数及手术并发症，值得临床推广。
목적：평개봉도취석도관재수뇨관경상단쇄석술중적응용개치。방법회고성분석사용봉도취석도관행수뇨관경상단쇄석치료62례（ A조）급단순행수뇨관경상단쇄석치료58례（ B조）적림상자료，취량조결석청제솔、수술시간、술중출혈량、주원천수급병발증등지표진행비교。결과량조결석청제솔유현저성차이（ P ＜0．05）；재수술시간、술중출혈량、주원천수급병발증등방면차이무통계학의의（ P ＞0．05）。결론수뇨관경상단쇄석술중연합사용봉도취석도관능증가결석청제솔，제고수술성공솔，증가환자만의도，불증가수술시간、출혈량、주원천수급수술병발증，치득림상추엄。
Objectives To evaluate the clinical value of ureteral occlusion device in ureteroscope lithotrip-sy for upper ureteral calculi.Methods The clinical data of 120 cases of patients with upper ureteral calculus were analyzed retrospectively.Among them,62 cases( group A) were treated by ureteroscope lithotripsy combined with ure-teral occlusion device and 58 cases(group B) were treated by ureteroscope lithotripsy.The stone-free rate, operat-ing time, blood loss during operation, the hospital stay, and complications were compared between group A and group B.Results n group A the stone-free rate was better than that in group B( P <0.05);The differences in operating time, blood loss during operation, the hospital stay, and complications were not statistically significant( P>0.05).Conclusions Ureteroscopy lithotripsy combined with ureteral occlusion device deserves clinical appli-cation because it can increase stone-free rate, improve success rate of lithotripsy and increase patients satisfaction . Meanwhile,It does not increase the operating time, blood loss during operation, the hospital stay and complications.