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微创泌尿外科杂志  2020, Vol. 9 Issue (3): 176-181    DOI: 10.19558/j.cnki.10-1020/r.2020.03.005
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输尿管软镜碎石术后肾下盏残石应用体外物理振动排石的临床研究
刘宇保1, 陈松1, 肖博1, 胡卫国1, 王强1, 唐宇哲1, 付猛1, 苏博兴1, 李建兴1
1清华大学附属北京清华长庚医院泌尿外科 清华大学临床医学院 102218 北京
Extracorporeal physical vibration lithecbole for residual lower renal calyx calculi after retrograde intrarenal surgery
LIU Yubao1, CHEN Song1, XIAO Bo1, HU Weiguo1, WANG Qiang1, TANG Yuzhe1, FU Meng1, SU Boxing1, LI Jianxing1
1Department of Urology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing 102218, China
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摘要 目的: 观察输尿管软镜碎石术(RIRS)术后针对肾下盏残石应用体外物理振动排石(EPVL)辅助治疗的临床效果。方法: 将2018年1月–2019年2月经RIRS治疗且术后伴有明显肾下盏残石的90例肾结石患者纳入研究,按完全随机化分组法分为物理振动排石组(EPVL组)和自然排石组。EPVL组45例,采用物理振动排石机治疗;自然排石组45例,采用多饮水、口服或静脉给予排石药物、适当增加运动量等自然排石方法治疗。通过影像学分析、实验室检查、患者排石调查评分表等比较两组排石的疗效、不良反应、并发症发生率和患者满意度。结果: EPVL组术后第2天见石率91.1%(41/45),术后1周排净率77.8%(35/45),术后2周排净率88.9%(40/45),整体满意度得分95.2分(100分)。自然排石组术后第2天见石率44.4%(20/45),术后1周排净率57.8%(26/45),术后2周排净率75.6%(34/45),整体满意度得分76.4分(满分100分)。两组患者在排石疗效、患者满意度方面差异有统计学意义(P<0.05),在年龄、性别、结石分布、大小等比较差异无统计学意义(P>0.05)。实验室检查中尿常规红白细胞计数差异无统计学意义(P<0.05),EPVL组中有极少数患者出现短暂性腰腹部疼痛和皮肤瘙痒等症状,两组均无严重并发症的发生。结论: EPVL可明显促进RIRS术后肾下盏残石的排出,患者满意度高,且治疗相对安全无创,无严重并发症及不良反应。
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刘宇保
陈松
肖博
胡卫国
王强
唐宇哲
付猛
苏博兴
李建兴
关键词 输尿管软镜碎石术体外物理振动排石肾下盏残石    
AbstractObjective: To observe the curative effect of extracorporeal physical vibration lithecbole (EPVL) treatment for the patients with residual lower renal calyx calculi after retrograde intrarenal surgery (RIRS). Methods: Ninety cases of residual lower renal calyx calculi who underwent RIRS in our hospital from January 2018 to February 2019 were analyzed prospectively. The patients were divided into EPVL group and natural lithecbole group randomly. The EPVL group was given EPVL treatment, and the control group was subjected to the such natural lithecbole methods as drinking extra water, adding exercise moderately, etc. The clinical data of the curative effect, complications, side-effects and satisfaction of patients were collected and analyzed systematically by imaging analysis, laboratory examination and satisfaction grade. Result: In the EPVL group, 91.1% patients expelled stones in two days, the stone free rate at 1st and 2nd week was 77.8% and 88.9% respectively, and the satisfaction survey of patients scored 95.2. In the control group, 44.4% patients expelled stones at 2nd day, the stone free rate at 1st and 2nd week was 57.8% and 75.6% respectively, and the satisfaction survey of patients scored 76.4. There were significantly differences in the curative effect and the satisfaction grade between the two groups (P < 0.05). The ages, sex, distribution and size of stone had no significant difference between the two groups (P > 0.05). A few of the patients in the EPVL group had transient symptoms such as abdominal pain and itching. There were no serious side-effect and complications in both groups. Conclusion: EPVL treatment can effectively promote the lithecbole of residual lower renal calyx calculi after RIRS. It is a relatively safe and noninvasive treatment with no severe adverse reaction and a high level of satisfaction.
Key wordsretrograde intrarenal surgery    extracorporeal physical vibration lithecbole    residual lower renal calyx calculi
收稿日期: 2019-03-29     
ZTFLH:  692.4  
通讯作者: 李建兴,ljx1@sina.com   
引用本文:   
刘宇保, 陈松, 肖博, 胡卫国, 王强, 唐宇哲, 付猛, 苏博兴, 李建兴. 输尿管软镜碎石术后肾下盏残石应用体外物理振动排石的临床研究[J]. 微创泌尿外科杂志, 2020, 9(3): 176-181.
LIU Yubao, CHEN Song, XIAO Bo, HU Weiguo, WANG Qiang, TANG Yuzhe, FU Meng, SU Boxing, LI Jianxing. Extracorporeal physical vibration lithecbole for residual lower renal calyx calculi after retrograde intrarenal surgery. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2020, 9(3): 176-181.
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