输尿管重复患者输尿管镜下碎石术的临床特点及治疗效果的回顾性研究。

IF 2.7 Q2 UROLOGY & NEPHROLOGY
Research and Reports in Urology Pub Date : 2025-08-07 eCollection Date: 2025-01-01 DOI:10.2147/RRU.S537984
Gang Luo, Jian Zhou, Yuqing Deng
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引用次数: 0

摘要

目的:探讨输尿管镜下碎石术(URSL)治疗输尿管重复合并尿路结石的临床特点及治疗效果。方法:本回顾性研究分析了2020年1月至2024年12月期间接受URSL治疗的18例输尿管重复和尿石症患者。随机选取同期行URSL的200例正常泌尿解剖学患者作为对照组。收集人口统计学数据、临床特征、结石大小和位置、合并症和手术结果(手术时间、术后住院时间和并发症)并进行组间比较。结果:两组患者在年龄、性别、BMI等方面均无显著差异。输尿管重复组有尿路结石病史的患者比例较高。结石位置差异显著,重复组右侧输尿管结石较少。尽管存在解剖学上的挑战,但两组之间在手术时间、住院时间或并发症发生率方面没有显著差异。结论:URSL是一种安全有效的治疗输尿管重复合并尿路结石的方法。手术结果与泌尿解剖正常的患者相当。需要进一步研究更大的样本量和长期随访来优化诊断和治疗策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Retrospective Study on Ureteroscopic Lithotripsy in Patients with Ureteral Duplication: Clinical Characteristics and Treatment Outcomes.

Objective: To evaluate the clinical characteristics and treatment outcomes of ureteroscopic lithotripsy (URSL) in patients with ureteral duplication and urinary stones.

Methods: This retrospective study analyzed 18 patients with ureteral duplication and urolithiasis who underwent URSL between January 2020 and December 2024. A control group of 200 patients with normal urinary anatomy who underwent URSL during the same period was randomly selected. Demographic data, clinical features, stone size and location, comorbidities, and surgical outcomes (operative time, postoperative hospital stay, and complications) were collected and compared between groups.

Results: No significant differences were found in age, gender, or BMI between the two groups. The ureteral duplication group had a higher proportion of patients with a history of urinary stones. Stone location differed significantly, with fewer right-sided ureteral stones in the duplication group. Despite anatomical challenges, there were no significant differences in operative time, hospital stay, or complication rates between the groups.

Conclusion: URSL is a safe and effective treatment for patients with ureteral duplication and urinary stones. Surgical outcomes are comparable to those in patients with normal urinary anatomy. Further research with larger sample sizes and long-term follow-up is needed to optimize diagnostic and therapeutic strategies.

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来源期刊
Research and Reports in Urology
Research and Reports in Urology UROLOGY & NEPHROLOGY-
CiteScore
3.40
自引率
0.00%
发文量
60
审稿时长
16 weeks
期刊介绍: Research and Reports in Urology is an international, peer-reviewed, open access, online journal. Publishing original research, reports, editorials, reviews and commentaries on all aspects of adult and pediatric urology in the clinic and laboratory including the following topics: Pathology, pathophysiology of urological disease Investigation and treatment of urological disease Pharmacology of drugs used for the treatment of urological disease Although the main focus of the journal is to publish research and clinical results in humans; preclinical, animal and in vitro studies will be published where they will shed light on disease processes and potential new therapies. Issues of patient safety and quality of care will also be considered.
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