中国医学装备
中國醫學裝備
중국의학장비
China Medical Equipment
2015年
11期
83-85,86
,共4页
Peel-away塑料薄膜鞘%桥鞘通道%输尿管下段结石%输尿管镜%气压弹道碎石术
Peel-away塑料薄膜鞘%橋鞘通道%輸尿管下段結石%輸尿管鏡%氣壓彈道碎石術
Peel-away소료박막초%교초통도%수뇨관하단결석%수뇨관경%기압탄도쇄석술
Peel-away plastic film sheath%Bridge sheath channel%Distal ureteral calculus%Ureteroscopes%Pneumatic ballistic lithotripsy
目的：探讨Peel-away塑料薄膜鞘结合输尿管镜气压道碎石术治疗女性输尿管中下段复杂性结石的可靠性、有效性及安全性。方法：选取80例女性输尿管结石患者，按照随机数表法分为观察组和对照组，每组40例。观察组采用Peel-away塑料薄膜鞘在尿道、膀胱和输尿管开口之间建立桥鞘通道，并结合输尿管镜下气压道碎石术治疗；对照组采用传统输尿管镜下气压道碎石术治疗，对比分析两组患者的临床资料。结果：观察组的治愈率明显高于对照组，差异有统计学意义(x2=5.54，P＜0.05)；观察组的手术取石时间、出血量、住院时间以及住院费用等明显优于对照组，两组相比具有显著差异；观察组的手术并发症(输尿管穿孔除外)少于对照组，两组相比具有明显差异。结论：对女性输尿管中下段复杂性结石采用Peel-away塑料薄膜鞘在尿道、膀胱和输尿管开口之间建立桥鞘通道，行输尿管镜下气压弹道碎石术，具有安全、方便、实用、成本低、损伤小以及并发症少等特点，值得临床推广应用。
目的：探討Peel-away塑料薄膜鞘結閤輸尿管鏡氣壓道碎石術治療女性輸尿管中下段複雜性結石的可靠性、有效性及安全性。方法：選取80例女性輸尿管結石患者，按照隨機數錶法分為觀察組和對照組，每組40例。觀察組採用Peel-away塑料薄膜鞘在尿道、膀胱和輸尿管開口之間建立橋鞘通道，併結閤輸尿管鏡下氣壓道碎石術治療；對照組採用傳統輸尿管鏡下氣壓道碎石術治療，對比分析兩組患者的臨床資料。結果：觀察組的治愈率明顯高于對照組，差異有統計學意義(x2=5.54，P＜0.05)；觀察組的手術取石時間、齣血量、住院時間以及住院費用等明顯優于對照組，兩組相比具有顯著差異；觀察組的手術併髮癥(輸尿管穿孔除外)少于對照組，兩組相比具有明顯差異。結論：對女性輸尿管中下段複雜性結石採用Peel-away塑料薄膜鞘在尿道、膀胱和輸尿管開口之間建立橋鞘通道，行輸尿管鏡下氣壓彈道碎石術，具有安全、方便、實用、成本低、損傷小以及併髮癥少等特點，值得臨床推廣應用。
목적：탐토Peel-away소료박막초결합수뇨관경기압도쇄석술치료녀성수뇨관중하단복잡성결석적가고성、유효성급안전성。방법：선취80례녀성수뇨관결석환자，안조수궤수표법분위관찰조화대조조，매조40례。관찰조채용Peel-away소료박막초재뇨도、방광화수뇨관개구지간건립교초통도，병결합수뇨관경하기압도쇄석술치료；대조조채용전통수뇨관경하기압도쇄석술치료，대비분석량조환자적림상자료。결과：관찰조적치유솔명현고우대조조，차이유통계학의의(x2=5.54，P＜0.05)；관찰조적수술취석시간、출혈량、주원시간이급주원비용등명현우우대조조，량조상비구유현저차이；관찰조적수술병발증(수뇨관천공제외)소우대조조，량조상비구유명현차이。결론：대녀성수뇨관중하단복잡성결석채용Peel-away소료박막초재뇨도、방광화수뇨관개구지간건립교초통도，행수뇨관경하기압탄도쇄석술，구유안전、방편、실용、성본저、손상소이급병발증소등특점，치득림상추엄응용。
Objective:To explore the reliability, availability and security of peel-away plastic film sheath combination of ureteroscopy pneumatic lithotripsy treatment of female lower segment complexity ureteral calculi.Methods: The treatment group(40 cases) used peel-away plastic film sheath establish a bridge sheath channel between the urethra, bladder and the ureteral opening, combining under ureteroscopy pneumatic lithotripsy treatment. The control group(40 cases) with traditional under ureteroscopy pneumatic lithotripsy treatment. The clinical data of two groups of patients were analyzed.Results: The cure rate of the treatment group was significantly higher than the control group(x2=5.54,P<0.05); and the stones operation time, the bleeding, hospital stays and hospital costs was much better than control group; the complications of surgery (except the ureteral perforation) was significantly less than that of control group.Conclusion: Treatment of female lower segment complexity ureteral calculi by using the peel-away plastic film sheath establish a bridge sheath channel between the urethra, bladder and the ureteral opening, combining under ureteroscopy pneumatic lithotripsy treatment, with safe, convenient, practical, low cost, little injury, fewer complications, etc. was worthy of clinical application.
