当前位置: X-MOL 学术J. X-Ray Sci. Technol. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
The clinical outcomes of flexible ureteroscopy and laser lithotripsy (FURSL) for treatment of the upper urinary tract calculi
Journal of X-Ray Science and Technology ( IF 3 ) Pub Date : 2021-10-24 , DOI: 10.3233/xst-210992
Wei Tao 1 , Xu Ming 1 , Yachen Zang 1 , Jin Zhu 1 , Yuanyuan Zhang 2 , Chuanyang Sun 1 , Boxin Xue 1
Affiliation  

PURPOSE:To evaluate efficacy and safety of flexible ureteroscopy and laser lithotripsy (FURSL) for treatment of the upper urinary tract calculi. METHODS:We retrospectively analyzed 784 patients who underwent FURSL between January 2015 and October 2020 in our unit. All patients were preoperatively evaluated with urine analysis, serum biochemistry, urinary ultrasonography, non-contrast computed tomography and intravenous urography. The procedure was considered as successful in patients with complete stone disappearance or fragments < 4 mm on B ultrasound or computed tomography. The operative parameters, postoperative outcomes and complications were recorded and analyzed respectively. RESULTS:The average operative time and postoperative hospital stay were 46.9±15.8 min and 1.2±1.1 days, respectively, among 784 patients. In addition, 746 patients were followed up and 38 patients were lost. In these patients, 700 (93.8%) cases met the stone removal criteria and 46 cases (6.2%) did not meet the stone removal criteria who need further treatment. The stone free rate (SFR) is 92.5%after 1–3 months and SFR of middle and upper calyceal calculi was higher than that of lower calyceal calculi significantly. The most common complications were fever (58/784, 7.4%), gross hematuria (540/784, 68.9%) and lpsilateral low back pain (47/784, 6.0%). The incidence rate of serious complication was 1.28%(10/784), including 5 cases of septic shock and 5 cases of subcapsular hematoma, which were cured after active treatment. CONCLUSION:FURSL is a reliable treatment for small and medium calculi patients of upper urinary tract. The curative effect of stone removal is clear. The complications are few and the safety is high. However, there are certain limitations to the efficacy in treating larger stone and lower calyceal calculi.

中文翻译:

输尿管软镜激光碎石术(FURSL)治疗上尿路结石的临床疗效

目的:评价输尿管软镜和激光碎石术(FURSL)治疗上尿路结石的疗效和安全性。方法:我们回顾性分析了 2015 年 1 月至 2020 年 10 月在我科接受 FURSL 的 784 例患者。术前对所有患者进行尿液分析、血清生化、尿超声、非对比计算机断层扫描和静脉尿路造影。在 B 超或计算机断层扫描显示结石完全消失或碎片 < 4 mm 的患者中,该手术被认为是成功的。分别记录和分析手术参数、术后结局和并发症。结果:784例患者的平均手术时间和术后住院时间分别为46.9±15.8 min和1.2±1.1 d。此外,随访746例,失访38例。在这些患者中,700例(93.8%)符合取石标准,46例(6.2%)不符合取石标准需要进一步治疗。1~3个月后结石清除率(SFR)为92.5%,中、上盏结石SFR明显高于下盏结石。最常见的并发症为发热(58/784, 7.4%)、肉眼血尿(540/784, 68.9%)和同侧腰痛(47/784, 6.0%)。严重并发症发生率为1.28%(10/784),其中感染性休克5例,包膜下血肿5例,经积极治疗治愈。结论:FURSL是治疗上尿路中小结石患者的可靠方法。去石的疗效是明显的。并发症少,安全性高。但在治疗较大结石和下盏结石的疗效上存在一定的局限性。
更新日期:2021-10-26
down
wechat
bug