CAJ | 학술논문

目的探讨阻石篮联合输尿管镜钬激光碎石术治疗输尿管不同部位结石的疗效及安全性。方法回顾性分析2010年5月~2015年4月485例在我院行输尿管镜碎石取石术的患者资料,比较阻石篮在输尿管上段结石(153例)、中段结石(121例)、下段结石(211例)中的应用效果及安全性。结果485例患者,80例(16.5%)使用了阻石篮,其中上段结石40例、中段结石19例、下段结石21例,碎石成功率分别为95.0%(38/40)、94.7%(18/19)、100%(24/24),而未使用阻石篮碎石成功率分别为77.9%(88/113)、85.3%(87/102)、93.7%(178/190),上段结石阻石篮碎石成功率比较差异有统计学意义(<0.05)。结论阻石篮有效提高上段结石的碎石成功率,安全性好,但对于中下段结石并未显示出其优越性。
목적탐토조석람연합수뇨관경화격광쇄석술치료수뇨관불동부위결석적료효급안전성。방법회고성분석2010년5월~2015년4월485례재아원행수뇨관경쇄석취석술적환자자료,비교조석람재수뇨관상단결석(153례)、중단결석(121례)、하단결석(211례)중적응용효과급안전성。결과485례환자,80례(16.5%)사용료조석람,기중상단결석40례、중단결석19례、하단결석21례,쇄석성공솔분별위95.0%(38/40)、94.7%(18/19)、100%(24/24),이미사용조석람쇄석성공솔분별위77.9%(88/113)、85.3%(87/102)、93.7%(178/190),상단결석조석람쇄석성공솔비교차이유통계학의의(<0.05)。결론조석람유효제고상단결석적쇄석성공솔,안전성호,단대우중하단결석병미현시출기우월성。
Objective To compare the ef iciency and safety for the application of N-Trap in Holium laser ureterolithotripsy for dif erent site of the ureter stone. Methods Retrospectively analyzing the clinical data of 485 patients who underwent Holium laser ureterolithotrips from May 2010 to April 2015 in our hospital, and comparing the ef iciency and safety of 153 proximal ureteral calculus, 121 middle calculus and 211 distal calculus. Results The 485 stone cases, N-Trap was applied in 80 cases while undergoing Holium laser ureterolithotripsy. The number of using N-Trap for proximal, middle and distal calculus were 40, 19 and 21 respectively. Stone-free rates for proximal, middle and distal calculus cases that using N-Trap were 95.0%, 94.7% and 100% respectively, while the non-using cases were 77.9%, 85.3%and 93.7%respectively. Conclusion The application of N-Trap in Holium laser ureterolithotripsy for proximal ureteral calculus could improve the stone-free rate, yet not for the middle and distal calculus.