输尿管镜碎石术治疗老年输尿管结石112例

摘要

Objective:To investigate the curative effect and safety of ureteroscopic lithotripsy for ureteral calculi in the elderly patients.Methods..The clinical data of 112 elderly patients with ureteral calculi who underwent operations in our hospital from Sep.2007 to Jun.2014 were retrospectivly analysed.The patients were divideded into two groups,72 cases underwent ureteroscope combined pneumatic ballistic lithotripsy were in group A;40 cases underwent ureteroscope combined ultrasonic and pneumatic lithotripsy were in group B.The surgical treatment effect was compared between the two groups.Results:The operation time was 18-48 min(a mean of 33.8±7.2 min)in group A and 14-41 min(a mean of 23.9-±7.0 min)in group B (P＜0.01).The success rate of operation was 93.1％(67/72 cases) in group A and 97.5％(39/40 cases) in group B(P＞0.05).The incidence rate of postoperative complications were 6.9％ (5/72 cases) and 0％ (0/40 cases) in group A and group B,respectively (P ＜ 0.05).Conclusion:Ureteroscope combined ultrasonic and pneumatic lithotripsy has the advantages of shorter operation time,higher efficiency and less incidence rate of postoperative complications in the elderly.%目的:探讨输尿管镜碎石术治疗老年输尿管结石的临床疗效和安全性.方法:回顾性分析我院2007-09～2014-06行手术治疗的112例老年输尿管结石患者临床资料,72例行输尿管镜气压弹道碎石术患者为A组,40例行输尿管镜联合超声碎石清石系统碎石术患者为B组,比较两组的疗效.结果:A组手术时间为18～48 min,平均(33.8±7.2) min;B组手术时间为14～41 min,平均(23.9±7.0)min,差异有统计学意义(P＜0.01).A组手术成功率93.1％(67/72例);B组为97.5％(39/40例),差异无统计学意义(P＞0.05).A组和B组手术并发症发生率分别为6.9％(5/72例)和0％(0/40例),差异有统计学意义(P＜0.05).结论:输尿管镜联合超声碎石清石系统碎石术具有手术时间短、碎石效率高、并发症少的优点,适合老年患者使用.