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目的探讨双J管预扩张输尿管软镜治疗肾结石患者的临床效果。方法选取2015年3月至2016年2月本院收治的肾结石患者58例作为本次研究的对象,全部患者均实施输尿管软镜钬激光碎石术,术前采用双J管预扩张治疗侧输尿管,统计分析患者的扩张鞘进鞘成功率、并发症发生率以及结石排净率。结果软镜扩张鞘一次进镜成功率是98.28%(57/58);置管期间尿路刺激征发生率是27.59%(16/58),血尿发生率是72.41%(42/58),高热与寒战发生率是1.72%(1/58),主动干预治疗并发症发生率是3.45%(2/58);术后2个月结石排净率是93.10%(54/58)。结论对实施输尿管软镜钬激光碎石术的肾结石患者采用双J管预扩张治疗侧输尿管,能够明显提高软镜扩张鞘一次进镜成功率,患者并发症发生率小,可以明显缓解患者痛苦,提高结石排净率,能够获得理想的手术效果,值得在临床上大力推广应用。
Objective To investigate the clinical effect of double J tube pre-dilation ureteroscopy in treatment of patients with kidney stones. Methods 58 patients with nephrolithiasis admitted to our hospital from March 2015 to February 2016 were selected as the object of this study. All patients underwent ureteroscopic holmium laser lithotripsy. Preoperative double J-tube pre-dilation treatment Ureter, statistical analysis of patients with dilated sheath into sheath success rate, complication rate and stone clearance rate. Results The success rate of one-time optic-fiber dilatation sheath injection was 98.28% (57/58). The incidence of urinary tract irritation during catheterization was 27.59% (16/58), hematuria incidence was 72.41% (42/58) The incidence of cholera was 1.72% (1/58). The incidence of active intervention was 3.45% (2/58). The stone clearance rate was 93.10% (54/58) at 2 months after operation. Conclusions The double J-tube pre-dilation treatment of ureter in patients with renal calculus who underwent ureteroscopic holmium laser lithotripsy can significantly improve the success rate of one-time enteroscope of dilatation sheath of the soft-lens and the small complication rate of the patient, which can obviously relieve the patient’s pain , Improve the rate of stone discharge, can get the ideal surgical results, it is worth to clinically promote.