输尿管镜钬激光碎石术治疗输尿管结石的临床疗效观察  

Ureteroscopic holmium laser lithotripsy for the treatment of ureteral calculi

作　　者：李海丹[1] 杨德林[1] 李志鹏[1] 颜汝平[1] 袁顺辉[1] 何进[1] 禹路[1] 和术臣[1] 叶春伟[1] 杨晓芳[1] 李卓衡 Li Haidan;Yang Delin;Li Zhipeng(Department of Urology,the Second Affiliated Hospital of Kunming Medical University,Kunming 650000,China)

机构地区：[1]昆明医科大学第二附属医院泌尿外科,云南昆明650000

出　　处：《国际泌尿系统杂志》2018年第6期950-953,共4页International Journal of Urology and Nephrology

基　　金：国家自然科学基金地区项目（81460385）

摘　　要：目的 探讨输尿管镜钬激光碎石术治疗输尿管结石的体会.方法 随机抽取2016年11月至2017年11月在本院收治的输尿管结石患者77例.按照随机原则分为研究组（输尿管镜钬激光碎石术）与对照组（输尿管镜气压弹道碎石术）.对比两组治疗效果及治疗前后血清指标变化.结果 研究组一次碎石成功率、术后结石排净率均高于对照组,两组比较差异具有统计学意义（P＜0.05）;研究组手术时间、术后血尿持续时间、术后住院时间均短于对照组,术后疼痛评分低于对照组,两组比较差异具有统计学意义（P＜0.05）;研究组并发症少于对照组,两组比较差异具有统计学意义（P＜0.05）;研究组术后72 h的应激反应指标、肾功能指标、尿液指标均优于对照组,两组比较差异具有统计学意义（P＜0.05）.结论 输尿管结石采用输尿管镜下钬激光技术治疗的效果更为理想,值得进行深入研究和推广.Objective To discuss the experience of ureteroscopic holmium laser lithotripsy for the treatment of ureteral stones.Methods A total of 77 patients with ureteral calculi were collected at random from November 2016 to November 2017.According to the principle of random equality,all patients were divided into the study group （ureteroscopy holmium laser lithotripsy） and the control group （ureteroscopy pneumatic lithotripsy）.The serum index changes before and after treatment of the two groups were compared.Results In the study group,the success rate and the net rate of postoperative stones were higher than those in the control group,and the results were statistically significant （P ＜ 0.05）.The duration of operation of the study group,the duration of postoperative hematuria and postoperative hospital stay were shorter than that of the control group.The postoperative pain score was lower than the control group,and the results were statistically significant （P ＜ 0.05）.The complications of the study group were less than that of the control group,and the results were statistically significant （P ＜0.05）.The group＇s stress response index,renal function index and urine index 72 h after surgery were all better than the control group,and the results were statistically significant （P ＜ 0.05）.Conclusions The treatment of ureteral calculi with ureteroscope is more ideal,which deserves further study and promotion.

关 键 词：输尿管结石 钬 激光 固体 碎石术 激光 

分 类 号：R699.4[医药卫生—泌尿科学]