One lung ventilation and traditional endotracheal intubation in the application of flexible ureteroscopy and holium laser lithotripsy: a comparative study

doi:10.3877/cma.j.issn.1674-3253.2019.05.003

Abstract

Abstract:

Objective

To compare the safety and efficacy of one lung ventilation and traditional endotracheal intubation in the application of flexible ureteroscopy and holium laser lithotripsy.

Methods

From November 2016 to October 2017, the data of 67 patients with renal calculus underwent flexible ureteroscopy and holium laser lithotripsy, including 29 cases of one lung ventilation group and 38 cases of traditional tracheal intubation group were analyzed retrospectively. The time of operation, the clearance rate of 30 days after surgery, the hospital stay and the postoperative complications were compared.

Results

The operation of 67 patients were completed without serious complications. There was no statistically significant difference between the two groups in the stone clearance rate, postoperative complications and the hospital stay (P>0.05). The time of operation of one lung ventilation group was significantly shorter than that of traditional endotracheal intubation group (P<0.001).

Conclusion

Compared with traditional endotracheal intubation, one lung ventilation has equivalent stone removal efficiency, and its surgical time is significantly shortened.

Key words: One lung ventilation, Flexible ureteroscope, Renal stones

Fei Yang, Wenjun Xie, Tengcheng Li, Jiarong Cai, Xiangfu Zhou, Hailun Zhan. One lung ventilation and traditional endotracheal intubation in the application of flexible ureteroscopy and holium laser lithotripsy: a comparative study[J]. Chinese Journal of Endourology(Electronic Edition), 2019, 13(05): 297-300.

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References 10

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组别	例数	年龄（岁，±s）	性别（例）		结石大小（mm，±s）	体质量指数（kg/m²，±s）	结石位置(例)				尿路感染（例）	肾功能异常（例）	结石手术史（例）
组别	例数	年龄（岁，±s）	男	女	结石大小（mm，±s）	体质量指数（kg/m²，±s）	肾盂	上盏	中盏	下盏	尿路感染（例）	肾功能异常（例）	结石手术史（例）
单肺通气组	29	45±11	16	13	14±4.0	21±5	7	8	15	1	15	8	5
传统组	38	44±13	21	17	15±4	21±5	9	7	22	2	18	11	7
统计值	?	t=0.319	χ²=5.477		t=1.010	t=0.411	χ²=0.021				χ²=0.125	χ²=0.015	χ²=0.016
P值	?	0.413	0.545		0.531	0.813	0.771				0.319	0.798	0.898

组别	例数	年龄（岁，±s）	性别（例）		结石大小（mm，±s）	体质量指数（kg/m²，±s）	结石位置(例)				尿路感染（例）	肾功能异常（例）	结石手术史（例）
组别	例数	年龄（岁，±s）	男	女	结石大小（mm，±s）	体质量指数（kg/m²，±s）	肾盂	上盏	中盏	下盏	尿路感染（例）	肾功能异常（例）	结石手术史（例）
单肺通气组	29	45±11	16	13	14±4.0	21±5	7	8	15	1	15	8	5
传统组	38	44±13	21	17	15±4	21±5	9	7	22	2	18	11	7
统计值	?	t=0.319	χ²=5.477		t=1.010	t=0.411	χ²=0.021				χ²=0.125	χ²=0.015	χ²=0.016
P值	?	0.413	0.545		0.531	0.813	0.771				0.319	0.798	0.898

组别	例数	手术时间（min，±s）	住院时间（d，±s）	结石清除率[例（%）]	并发症例数	住院费用（万元，±s）
单肺通气组	29	25±14	4.9±1.5	22（75.9）	2	2.0±0.5
传统组	38	36±14	5.0±1.7	36（94.7）	3	1.9±0.9
统计值	?	t=3.425	t=0.251	χ²=3.547	-	t=0.430
P值	?	0.001	0.803	0.060	0.787	0.668

组别	例数	手术时间（min，±s）	住院时间（d，±s）	结石清除率[例（%）]	并发症例数	住院费用（万元，±s）
单肺通气组	29	25±14	4.9±1.5	22（75.9）	2	2.0±0.5
传统组	38	36±14	5.0±1.7	36（94.7）	3	1.9±0.9
统计值	?	t=3.425	t=0.251	χ²=3.547	-	t=0.430
P值	?	0.001	0.803	0.060	0.787	0.668

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