| 经输尿管镜治疗输尿管下段结石是否留置支架管的临床观察 |
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| 引用本文： | 吴松,赖海标,钟亮,黄智峰,曾晔,李森,赖伟业,郑东翔,唐荣志. 经输尿管镜治疗输尿管下段结石是否留置支架管的临床观察[J]. 右江民族医学院学报, 2008, 30(2): 189-191 |
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| 作者姓名： | 吴松 赖海标 钟亮 黄智峰 曾晔 李森 赖伟业 郑东翔 唐荣志 |
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| 作者单位： | 广东省中山市中医院泌尿外科,广东,中山,528400 |
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| 摘 要： | 目的探讨输尿管镜治疗输尿管下段结石后常规放置输尿管支架管的必要性。方法116例单纯输尿管下段结石患者,经输尿管镜碎石取石术后,随机分成两组,A组(未放置支架管)58例,B组(放置支架管)58例,比较两组之间的手术时间,腰腹部疼痛评分(VAS),血尿、尿路感染率,膀胱刺激症状及远期输尿管狭窄发生率。结果A组手术时间较B组缩短(P<0.05)。术后1、3天A组患者腰痛VAS评分与B组比较差异无显著性,而术后第7、14天A组患者腰痛VAS评分及血尿发生率明显低于B组(P均<0.01)。术后A组患者膀胱刺激症状明显低于B组(P<0.01),两组尿路感染率差异无显著性。术后3个月两组均未出现输尿管狭窄并发症。结论经输尿管镜治疗单纯输尿管下段结石常规放置输尿管支架管是不必要的。
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| 关 键 词： | 输尿管结石 输尿管镜 导管,留置 |
| 文章编号： | 1001-5817(2008)02-0189-03 |
| 修稿时间： | 2007-12-05 |
Stenting versus non-stenting after ureteroscopy for lower ureteral calculi |
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| WU Song,LAI Hai-biao,ZHONG Liang,HUANG Zhi-feng,ZENG Ye,LI Sen,LAI Wei-ye,ZHENG Dong-xiang,TANG Rong-zhi. Stenting versus non-stenting after ureteroscopy for lower ureteral calculi[J]. Journal of Youjiang Medical College For Nationalities, 2008, 30(2): 189-191 |
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| Authors: | WU Song LAI Hai-biao ZHONG Liang HUANG Zhi-feng ZENG Ye LI Sen LAI Wei-ye ZHENG Dong-xiang TANG Rong-zhi |
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| Affiliation: | WU Song,LAI Hai-biao,ZHONG Liang,HUANG Zhi-feng,ZENG Ye,LI Sen,LAI Wei-ye,ZHENG Dong-xiang,TANG Rong-zhi (Department of Urinary Surgery,Zhongshan Traditional Chinese Medicine Hospital,Zhongshan,Guangdong 528400,China) |
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| Abstract: | Objective To assess the necessity for routine ureteral stenting after ureteroscopy for lower ureteral calculi.Methods A total of 116 patients with ureteric calculi amenable to ureteroscopic management were randomized allocated to group A(unstented group,n=58) or group B(stented group,n=58).Compared differences of mean operative time,incidences of loin pain,hematuria,urinary infection,lower urinary tract symptoms and postoperative stricture between the two groups.Results Mean operative time of group A was sh... |
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| Keywords: | ureteral calculi ureteroscopes stents |
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