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[1]刘俊强,丁俊,朱旭明,等.输尿管软镜碎石术对体外冲击波碎石无效肾结石患者的临床分析[J].医学研究与战创伤救治(原医学研究生学报),2018,20(04):376-380.[doi:10.3969/j.issn.1672-271X.2018.04.011]
　LIU Jun-qiang,DING Jun,ZHU Xu-ming,et al.The clinical application and effect analysis of FURSL in kidney calculi after the failure of ESWL[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2018,20(04):376-380.[doi:10.3969/j.issn.1672-271X.2018.04.011]
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输尿管软镜碎石术对体外冲击波碎石无效肾结石患者的临床分析()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第20卷
期数:
2018年04期
页码:
376-380
栏目:
临床研究
出版日期:
2018-07-20

文章信息/Info

Title:
The clinical application and effect analysis of FURSL in kidney calculi after the failure of ESWL
作者:
刘俊强; 丁俊; 朱旭明; 李国波; 周晨曦; 吴渊文
作者单位：214044无锡，安徽医科大学无锡临床学院（解放军第一○一医院）泌尿外科（刘俊强、丁俊、朱旭明、李国波、周晨曦、吴渊文）
Author(s):
LIU Jun-qiang;  DING Jun;  ZHU Xu-ming;  LI Guo-bo;  ZHOU Chen-xi;  WU Yuan-wen
（Department of Urology, Wuxi Clinical College of Anhui Medical University/The 101th Hospital of PLA, Wuxi 214044, Jiangsu, China）
关键词:
体外冲击波碎石; 输尿管软镜; 补救措施; 疗效
Keywords:
extracorporeal shock wave lithotripsy; flexible ureteroscopy; remedial measures; efficacy
分类号:
R692.4
DOI:
10.3969/j.issn.1672-271X.2018.04.011
文献标志码:
A
摘要:
目的 观察比较≤2cm肾结石行体外冲击波碎石(ESWL)无效后补救行输尿管软镜碎石术(FURSL)的临床效果。方法 回顾性分析安徽医科大学无锡临床学院2015年7月至2017年6月期间应用输尿管软镜联合钬激光治疗肾结石≤2cm的73例患者的临床资料，其中ESWL碎石无效后补救行FURSL治疗41例（ESWL-FURSL组），单纯行FURSL治疗32例（FURSL组）。ESWL-FURSL组先期已行1～3次ESWL治疗，ESWL后2周内复查腹部泌尿系平片(KUB)或者CT检测结石排出情况，若结石残留（≥6m
Abstract:
Objective To compare the clinical applications of the use of remedial flexible ureteroscopic lithotripsy (FURSL) after the failure of extracorporeal shock wave lithotripsy (ESWL) with simplex FURSL for calculi that are less than or equal to 2 cm.Methods Altogether 73 cases of patients whose calculi were less than or equal to 2 cm treated with FURSL were collected from July 2015 to June 2017 in Wuxi Clinical College of Anhui Medical University. Among those cases, 41patients were treated with FURSL after the failure of ESWL (group ESWL-FURSL), and the other 32 cases were treated with simplex FURSL (group FURSL). ESWL-FURSL group had been treated with ESWL for 1-3 times. Two weeks after EWSL, reexamined KUB or CT were performed to detect the stone-free rate (SFR). If the residual calculi which were less than or equal to 6 mm could use ESWL once more (≤3 times). If residualcalculi were still remained, FURSL should be considered. Before FURSL, Double J tube should be put for 2 or 4 weeks. The operation time, SFR and complications as the analysis of clinical effect were observed in 2 groups.Results The SRF in group ESWL-FURSL was lower than that in the FURSL group（82.9% vs 87.5%）. The operation time, the employed FURSL for the second time, and the hospital stays after operation was higher than those in group FURSL[（88.56±3047）min vs （85.78±24.27）min，14.6% vs 9.4%，（5.05±2.05）d vs （4.75±2.95）ｄ], but the differences were not statistically significant (P＞005). The incidence of postoperative complication in all was 13.7% (10/73), 4 cases of fever and 3 cases of urosepsis occurred in group ESWL-FURSL. In group FURSL, there were 1 cases of fever, 1 cases of renal week hematoma and 1 cases of urosepsis. All the patients recovered symptomatic treatment. The incidence of postoperative complications in group ESWL-FURSL was higher than that in group FURSL, but the differences were not statistically significant (17.1% vs 9.4%，P＞005).Conclusion FURSL is safe and reliable，and recommended FURSL as a first-choice remedy after the failure of ESWL.

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备注/Memo

备注/Memo:
基金项目：南京军区医学科技创新课题（11MB002）
更新日期/Last Update: 2018-07-20