输尿管镜下钬激光碎石术与开放手术治疗输尿管结石效果差异研究  

Study on the Difference between Ureteroscope Holmium Laser Lithotripsy and Open Surgery in the Treatment of Ureteral Calculi

作　　者：张素军[1] ZHANG Su-jun(Department of Urology,Central Hospital of Zibo Mining Group Co.,Ltd.Zibo,Shandong Province,255120 China)

机构地区：[1]淄博矿业集团有限责任公司中心医院泌尿外科,山东淄博255120

出　　处：《系统医学》2020年第13期76-78,共3页Systems Medicine

摘　　要：目的探究输尿管镜下钬激光碎石术与开放手术治疗治疗输尿管结石的效果差异。方法择取2018年3月—2019年12月期间在该院进行治疗的输尿管结石患者共92例参与研究,通过抽签法进行分组,包括对照组和观察组,每组46例。对照组开展常规开放手术治疗,观察组开展输尿管镜下钬激光碎石术治疗,对两组患者手术指标、住院时间、一次取石成功率、术后并发症、结石复发率等指标进行比较。结果观察组患者手术时间(30.45±2.68)min、术中失血量(25.36±3.41)mL、胃肠功能恢复时间(4.12±1.15)d、术后下床时间(5.11±1.34)d、住院时间(6.75±2.12)d少于对照组(75.42±3.65)min、(70.62±3.55)mL、(6.38±1.36)d、(8.74±1.46)d、(10.78±2.54)d,差异经统计学比较有意义(t=67.356、62.361、8.606、12.424、8.261,P<0.05);观察组一次取石成功率100.00%、结石复发率6.52%优于对照组97.83%、10.87%,经比较差异无统计学意义(P>0.05);观察组患者术后并发症发生率6.52%低于对照组23.91%,差异有统计学意义(χ~2=5.392,P<0.05)。结论相比传统开放手术,输尿管镜下钬激光碎石术对输尿管结石的安全性更高,可缩短其住院时间,可有效改善患者临床预后,因此建议在今后针对该种术式的应用进行普及。Objective To explore the difference between ureteroscope holmium laser lithotripsy and open surgery in the treatment of ureteral calculi.Methods A total of 92 patients with ureteral calculi treated in the hospital from March2018 to December 2019 were selected to participate in the study.They were divided into groups by lottery,including a control group and an observation group,with 46 cases in each group.The control group underwent routine open surgery,and the observation group underwent ureteroscope holmium laser lithotripsy.The two groups of patients were compared with the surgical index,hospitalization time,success rate of one-time stone removal,postoperative complications,and stone recurrence rate.Results The operation time(30.45±2.68)min,intraoperative blood loss(25.36±3.41)mL,gastrointestinal function recovery time(4.12±1.15)d,postoperative bed time(5.11±1.34)d,hospitalization time(6.75±2.12)d of the observation group Less than the control group(75.42±3.65)min,(70.62±3.55)mL,(6.38±1.36)d,(8.74±1.46)d,(10.78±2.54)d,the difference was statistically significant(t=67.356,62.361,8.606,12.424,8.261,P<0.05);the observation group had a success rate of 100.00%stone extraction and stone recurrence rate of 6.52%better than the control group 97.83%and 10.87%.There was no statistically significant difference(P>0.05);The post-complication rate was 6.52%lower than the control group 23.91%,the difference was statistically significant(χ~2=5.392,P<0.05).Conclusion Compared with traditional open surgery,ureteroscopic holmium laser lithotripsy is safer for ureteral calculi,can shorten its hospital stay,and can effectively improve the clinical prognosis of patients.Therefore,it is recommended to apply this method in the future.

关 键 词：输尿管镜下钬激光碎石术 开放手术 输尿管结石 并发症 

分 类 号：R693.4[医药卫生—泌尿科学]