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新型集成抽吸式半刚性输尿管镜碎石术的临床应用。

Clinical application of novel integrated suctioning semi-rigid ureteroscopic lithotripsy.

机构信息

Department of Urology, The Affiliated Ganzhou Hospital of Nanchang University, Ganzhou People's Hospital, Ganzhou, Jiangxi, China.

Department of Urology, Ruikang Hospital, Guangxi University of Traditional Chinese Medicine, Nanning, Guangxi, China.

出版信息

Minim Invasive Ther Allied Technol. 2023 Dec;32(6):314-322. doi: 10.1080/13645706.2023.2225599. Epub 2023 Jun 27.

Abstract

INTRODUCTION

Urinary calculi are frequently encountered in urology. Traditionally, the lack of a perfect water injection and drainage system means the observation field is affected during ureteroscopy. Here, we explored the effect and clinical value of a new integrated suctioning semi-rigid ureteroscopic lithotripsy (URSL) for treating ureteral calculi.

MATERIAL AND METHODS

A total of 180 patients were successfully enrolled in this study (60 in each group). Group A included patients who underwent a traditional semi-rigid URSL, group B included patients who underwent a suctioning semi-rigid URSL with a sheath being connected to a vacuum device, and group C included patients who underwent a new type of suctioning integrated rigid URSL with a novel designed ureteroscope.

RESULTS

In total, 164 cases of URSL were completed in one stage. Compared with group A, group C had a higher stone-clearance rate at 30 days postoperatively, shorter operation time, and fewer hospitalization days ( < .05); compared with group B, group C had a higher one-stage operation success rate, shorter operation time, and fewer hospitalization days ( < .05).

CONCLUSIONS

Comparatively, the new suctioning integrated semi-rigid URSL is advantageous for treating upper urinary calculi, considering the reduced operation time, length of hospital stay, and low invasiveness.

摘要

简介

尿石症在泌尿科中经常遇到。传统上,由于缺乏完善的注水和排水系统,意味着在输尿管镜检查期间会影响观察视野。在这里,我们探索了一种新的集成抽吸式半刚性输尿管镜碎石术(URSL)治疗输尿管结石的效果和临床价值。

材料和方法

共有 180 例患者成功纳入本研究(每组 60 例)。A 组包括接受传统半刚性 URSL 的患者,B 组包括接受连接到真空装置的鞘管抽吸式半刚性 URSL 的患者,C 组包括接受新型抽吸式集成刚性 URSL 的患者,该新型设计的输尿管镜。

结果

共有 164 例 URSL 一期完成。与 A 组相比,C 组术后 30 天结石清除率更高,手术时间更短,住院天数更少( < .05);与 B 组相比,C 组一期手术成功率更高,手术时间更短,住院天数更少( < .05)。

结论

相比之下,新型抽吸式集成半刚性 URSL 具有治疗上尿路结石的优势,考虑到手术时间、住院时间和低侵袭性的减少。

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