输尿管软镜联合钬激光碎石术治疗上尿路结石临床分析  

Clinical Analysis of Ureteroscope Combined with Holmium Laser Lithotripsy in the Treatment of Upper Urinary Calculi

作　　者：王军[1] WANG Jun(Department of Urology,Jiangyin Hospital of Traditional Chinese Medicine,Jiangyin,Jiangsu Province,214400 China)

机构地区：[1]江阴市中医院泌尿外科

出　　处：《中外医疗》2019年第30期102-104,共3页China & Foreign Medical Treatment

摘　　要：目的探讨对上尿路结石患者选择输尿管软镜+钬激光碎石术治疗后获得的临床效果。方法便利选择该院2017年1月—2019年6月收治的100例上尿路结石患者作为实验对象;回顾性研究方法分组后探究每组手术措施;比照组(50例):选择体外冲击碎石术展开治疗;实验组(50例):选择输尿管软镜+钬激光碎石术展开治疗;对两组手术措施应用效果展开对比。结果实验组术中失血量为(21.86±6.29)mL,结石术时长为(30.33±7.42)min,住院时长为(3.86±1.29)d;比照组术中失血量为(62.15±9.45)mL,结石术时长为(35.15±8.23)min,住院时长为(6.25±1.55)d;实验组上尿路结石患者术中失血量、结石术时长以及住院时长均少于比照组,差异有统计学意义(t=25.096、3.076、8.380,P<0.05);实验组上尿路结石患者结石清除率(96.00%)高于比照组(58.00%),差异有统计学意义(χ^2=20.384,P<0.05);实验组术后并发症总发生率(4.00%)低于比照组(44.00%),差异有统计学意义(χ^2=21.930,P<0.05)。结论上尿路结石患者在接受手术治疗期间,输尿管软镜+钬激光碎石术的有效应用,对于术中失血量、结石术时长以及住院时长的减少,结石清除率提升以及术后并发症总发生率的降低,获得确切治疗效果,最终对于上尿路结石患者康复状态的提升,奠定基础。Objective To investigate the clinical effects of ureteroscopy and holmium laser lithotripsy in patients with upper urinary calculi.Methods One hundred patients with upper urinary calculi admitted to the hospital from January 2017 to June 2019 were conveniently selected as experimental subjects.The retrospective study methods were used to investigate each group of surgical measures.The comparison group(50 cases):selection of extracorporeal impact stone technique was started;the experimental group(50 cases):ureteroscopy+holmium laser lithotripsy was selected for treatment;the effects of the two groups of surgical measures were compared.Results The blood loss during the operation was(21.86±6.29)mL,the duration of calculus was(30.33±7.42)min,and the length of hospitalization was(3.86±1.29)d.The blood loss during the operation was(62.15±9.45)mL.The duration of calculus was(35.15±8.23)min,and the length of hospitalization was(6.25±1.55)d.The blood loss,the duration of calculus,and the length of hospital stay in the upper urinary calculi in the experimental group were significantly less than those in the control group,the difference was statistically significant(t=25.096,3.076,8.380,P<0.05);the stone removal rate of patients with urinary calculi in the experimental group(96.00%)was significantly higher than that of the control group(58.00%),the difference was statistically significant(χ^2=20.384,P<0.05,);the incidence rate(4.00%)was lower than that of the control group(44.00%),the difference was statistically significant(χ^2=21.930,P<0.05).Conclusion The effective application of ureteroscopy and holmium laser lithotripsy during the operation of upper urinary calculi,the reduction of intraoperative blood loss,calculus duration and length of hospital stay,stone clearance rate and postoperative complications The reduction of the total incidence rate,the exact treatment effect,and finally the foundation for the improvement of the rehabilitation status of patients with upper urinary calculi.

关 键 词：输尿管软镜 钬激光碎石术 上尿路结石 临床效果 

分 类 号：R699[医药卫生—泌尿科学]