应用输尿管镜钬激光碎石术治疗输尿管结石的价值分析与评定  

Analysis and Evaluation of Ureteroscopic Holmium Laser Lithotripsy in the Treatment of Ureteral Calculi

作　　者：孙少玉 SUN Shao-yu(Department of Urology,Panjin Central Hospital,Panjin 124010,China)

机构地区：[1]盘锦市中心医院泌尿外科,辽宁盘锦124010

出　　处：《中国医药指南》2020年第18期68-69,共2页Guide of China Medicine

摘　　要：目的评定分析应用输尿管镜钬激光碎石术治疗输尿管结石的价值,为后续的临床应用奠定基础。方法选取本院2017年10月至2018年12月收治的输尿管结石患者共计60例,按照随机原则分为研究组(n=30)和对照组(n=30),研究组采用输尿管镜钬激光碎石术治疗,对照组采用输尿管镜气压弹道碎石术进行治疗,比较分析两组的手术特征、临床有效性、术后并发症发生率等。结果研究组手术时间、术中出血量以及住院时间均显著低于对照组,两组间差异具有统计学意义(P<0.05);碎石成功率研究组高于对照组但差异不显著(P>0.05),结石排净率研究组显著高于对照组(P<0.05);手术前两组BUN及血肌酐均无显著差异(P>0.05);手术后,两组BUN及Gr值均显著降低,研究组显著低于对照组,两组间差异显著具有统计学意义(P<0.05);研究组并发症发生率为6.67%低于对照组的10.00%差异不显著(P>0.05)。结论使用输尿管镜钬激光碎石术治疗输尿管结石患者肾功能更佳,并发症率更低,值得大范围临床推广。Objective To evaluate and analyze the value of ureteroscopic holmium laser lithotripsy in the treatment of ureteral calculi,and to lay a foundation for subsequent clinical application.Methods Our hospital in October 2017 to December 2018 a total of 60 patients with ureteral calculi were treated in accordance with the principle of random divided into research group(n=30)and control group(n=30),the team with ureteroscopy holmium laser lithotripsy treatment and control group by ureteroscopy pneumatic ballistic lithotripsy for treatment,the comparative analysis of two groups of operation characteristics,clinical effi cacy and postoperative complications,etc.Results Intraoperative blood loss and hospital stay of the study group were signifi cantly lower than that of the control group,and the differences between the two groups were statistically signifi cant(P<0.05).The success rate of lithotripsy group was higher than that of the control group,but the difference was not signifi cant(P>0.05),while the stone clearance rate of the study group was signifi cantly higher than that of the control group(P<0.05).Before surgery,there was no signifi cant difference between the two groups in BUN and serum creatinine(P>0.05).After surgery,the BUN and Gr values of the two groups were signifi cantly reduced,and the study group was signifi cantly lower than the control group.The difference between the two groups was statistically signifi cant(P<0.05).The complication rate of the study group was 6.67%,which was lower than that of the control group(10.00%).The difference was not signifi cant(P>0.05).Conclusion Ureteroscopic holmium laser lithotripsy for ureteral calculi has better renal function and lower complication rate.

关 键 词：输尿管结石 输尿管镜气压弹道碎石术 输尿管镜钬激光碎石术 价值 

分 类 号：R693.4[医药卫生—泌尿科学]