输尿管镜硬镜序贯软镜钬激光治疗上尿路结石价值探讨  

The value of urinary calculi ureteroscopy hard lens sequential soft with holmium laser

作　　者：胡晓枫[1] 

机构地区：[1]沈阳市第一人民医院泌尿外科,辽宁沈阳110041

出　　处：《中国医药科学》2015年第4期188-190,共3页China Medicine And Pharmacy

摘　　要：目的探讨输尿管镜硬镜序贯软镜钬激光治疗上尿路结石的临床价值。方法选择患者100例,分为两组,各50例,观察组使用硬镜结合软镜治疗,对照组使用硬镜治疗,比较两组手术时间、术后住院时间和一次完全碎石取石率,并统计两组发生的并发症。结果观察组手术时间和术后住院时间均短于对照组(P<0.05),一次完全碎石取石率高于对照组(P<0.05),观察组发生输尿管损伤、术后出血、术后急性肾功能衰竭以及发生术后菌血症的比例显著低于对照组(P<0.05)。结论输尿管镜硬镜联合软镜治疗上尿路结石,手术时间短,成功率高,术后并发症少。Objective To investigate the clinical value of urinary calculi ureteroscopy hard lens sequential soft with holmium laser. Methods 100 cases were divided into two groups,each 50 cases,the observation group were used hard lens sequential soft and the control group were used hard lens,then the operative time,postoperative hospital stay and a full lithotripsy rate and two sets of statistical complications occurred in the two groups were compared. Results The observation group with operative time and postoperative hospital stay were shorter than control group（P〈0.05）,a full lithotripsy rate was higher than control group（P〈0.05）,ureteral injury occurred,postoperative bleeding,postoperative acute postoperative renal failure and the proportion of bacteremia in the observation group were lower than control group（P〈0.05）. Conclusion Urinary calculi ureteroscopy hard lens sequential soft with holmium laser has shorter operative time and high success rate and fewer postoperative complications.

关 键 词：输尿管硬镜 输尿管软镜 钬激光 上尿路结石 

分 类 号：R691.4[医药卫生—泌尿科学]