X线定位下经皮肾微造瘘钬激光碎石治疗输尿管结石的临床效果  

Clinical effect of percutaneous nephrolithotomy laser lithotripsy under X-ray localization in the treatment of ureteral calculi

作　　者：黄军成[1] 凌峰[1] 莫方胜 陈浩贤[1] 陈洪铭 HUANG Jun-cheng;LING Feng;MO Fang-sheng;CHEN Hao-xian;CHEN Hong-ming(Department of Urology,Guangdong Provincial Agricultural Reclamation Center Hospital,Zhanjiang524002,China)

机构地区：[1]广东省农垦中心医院泌尿外科,广东湛江524002

出　　处：《中国当代医药》2020年第10期80-82,86,共4页China Modern Medicine

摘　　要：目的探讨X线定位下经皮肾微造瘘钬激光碎石治疗输尿管结石的临床效果。方法选择2012年1月~2019年1月我院收治的210例输尿管结石患者作为研究对象,按照计算机随机抽样分组方法将其分为开放组(n=105)与碎石组(n=105)。开放组采用开放性手术取石治疗,碎石组运用X线定位下经皮肾微造瘘钬激光碎石治疗,比较两组的结石清除效果、手术和术后恢复状况、并发症、生活质量状况。结果两组的术后1个月结石完全清除率比较,差异无统计学意义(P>0.05)。碎石组的术中出血量少于开放组,碎石组手术时间、术后住院时间短于开放组,碎石组术后并发症总发生率低于开放组,碎石组的术后2周生活质量评分高于开放组,差异有统计学意义(P<0.05)。结论输尿管结石实施X线定位下经皮肾微造瘘钬激光碎石治疗可到达良好的结石清除效果,且创伤小,并发症少,恢复快,可改善预后。Objective To investigate the clinical effect of percutaneous nephrolithotomy laser lithotripsy under X-ray localization in the treatment of ureteral calculi. Methods A total of 210 patients with ureteral calculi treated in our hospital from January 2012 to January 2019 were enrolled. The patients were divided into open group(n =105) and lithotripsy group(n=105) according to computer random sampling grouping method. The open group was treated with open surgical stone removal, and the lithotripsy group was treated with percutaneous nephrolithotomy laser lithotripsy under X-ray localization. The stone removal effect, surgical and postoperative recovery status, complications and quality of life of were compared between the two groups. Results There was no significant difference in the complete clearance rate of stones at 1 month after operation(P>0.05). The intraoperative blood loss of the lithotripsy group was less than that of the open group. The operation time and postoperative hospital stay in the lithotripsy group were shorter than those in the open group. The total incidence of postoperative complications in the lithotripsy group was lower than that in the open group. The quality of life score was higher than that of the open group at 2 weeks after operation, and the differences were statistically significant(P <0.05). Conclusion The treatment of ureteral calculi with percutaneous nephrolithotomy laser lithotripsy under X-ray localization can achieve good stone removal, with less trauma, less complications and quick recovery, which can improve the prognosis.

关 键 词：输尿管结石 X线定位 经皮肾微造瘘 钬激光碎石 

分 类 号：R695[医药卫生—泌尿科学]