Polaris ? Loop 支架管在输尿管镜 碎石手术中的应用价值

Clinical significance of Polaris ? Loop stent in patients receiving ureteroscopic lithotripsy

摘要:

目的 探讨输尿管镜碎石术治疗输尿管中下段结石术后留置Polaris ? Loop 支架管的应用价值 和并发症。方法 回顾性分析贵州省人民医院手术治疗输尿管中下段结石患者138 例术后留置支架管1 个 月的临床资料。其中，对照组71 例留置双J 管（6 F/26 cm/ 巴德），实验组67 例留置Polaris ? Loop 支架管 （6 F/26 cm/ 波士顿）。观察两组术后的尿白细胞、尿红细胞、支架管附壁结石、发热、腰痛、尿频、尿急、尿 痛、支架管移位及断裂。两组进行国际前列腺症状评分（IPSS）、生活质量评分（QOL）、膀胱过度活动评 分（OABSS）及疼痛视觉评分（VAPS）。结果 两组均有不同程度的并发症产生，但实验组在IPSS、QOL、 OABSS、VAPS、尿频、尿急、尿痛及支架管附壁结石方面与对照组比较，差异有统计学意义（P <0.05）；术 后尿白细胞、尿红细胞、支架管移位、断裂、发热及腰痛比较差异无统计学意义（P >0.05）。结论 相对于双J 管， 实验组术后留置Polaris ? Loop 支架管，能减少下尿路刺激症状，减少附壁结石形成，具有较高的临床应用价值。

Abstract:

Objective To evaluate clinical significance of Polaris ? Loop stentin patients with middle and lower urinary tract calculi receiving ureteroscopic lithotripsy. Methods A retrospective analysis of 138 patients with ureteral calculi after receiving ureteroscopic lithotripsy in our hospital from September 2014 to June 2016 was made. A total of 71 cases were treated with double J tube (6 F/26 cm/, Budd) (group B), and 67 cases received Polaris Loop stent (6 F/26 cm/, Boston) (group A). International Prostate Symptom Score (IPSS), Quality of life questionnaire (Qol), Overactive Bladder Symptom Score (OABSS) and Visual Analogue Pain Scale (VAPS) were recorded. Clinical symptoms as well as urine analysis were documented. Results Patients in both groups experienced complications while patients in group A experienced significant improvement in terms of IPSS, Qol, OABSS ,VAPS and bladder irritation when compared with group B (P < 0.05). No significant differences in postoperative urine white blood cell, red blood cell, stent crustation, fever and flank pain were founded (P > 0.05). Conclusions Polaris ? Loop stent is appropriate for clinical application in patients receiving ureteroscopic lithotripsy for less incidence of complications, symptoms of bladder irritation and formation of wall stones.