不同碎石治疗方式治疗输尿管结石效果及并发症分析  

Analysis of the Effect and Complications of Different Lithotripsy Treatment for Ureteral Calculi

作　　者：缪玉龙[1] MIAO Yulong(Department of Urinary Surgery,Sheyang County People's Hospital,Yancheng,Jiangsu Province,224300 China)

机构地区：[1]射阳县人民医院泌尿外科,江苏盐城224300

出　　处：《系统医学》2023年第19期117-120,124,共5页Systems Medicine

摘　　要：目的分析对输尿管结石患者提供不同碎石治疗方式的效果及并发症。方法选取2017年1月—2022年12月射阳县人民医院收治的132例输尿管结石患者,以随机数表法分为两组,各66例。研究组施以输尿管软镜钬激光碎石术,对照组施以体外冲击波碎石术。观察和比较组间结石排净率、临床相关指标、治疗前后炎症因子水平、并发症发生率。结果术后结石直径>1 cm患者中,研究组中下段排净率(95.45%)、总排净率(94.44%)相比对照组更高,差异有统计学意义(P<0.05);结石直径≤1 cm患者中,研究组中下段结石排净率(94.74%)相较于对照组更高,差异有统计学意义(P<0.05);不同结石直径患者的上段排净率均相近,差异无统计学意义(P>0.05)。研究组的并发症发生率(4.55%)相比对照组更低,差异有统计学意义(χ^(2)=4.181,P<0.05)。结论在输尿管结石治疗中应用输尿管软镜钬激光碎石术在清除结石直径>1 cm中的效果显著,可减少炎症反应,且并发症少,安全性高。Objective To analyze the effects and complications of different lithotripsy treatments for patients with ureteral calculi.Methods A total of 132 patients with ureteral calculi admitted to Sheyang County People's Hospital from January 2017 to December 2022 were selected and divided into the control group and the observation group according to the random number table method,with 66 cases in each group.The study group was treated with flexible ureteroscope holmium laser lithotripsy,and the control group was treated with extracorporeal shock wave lithotripsy.The stone-free rate,clinical related indicators,levels of inflammatory factors before and after treatment,and incidence of complications were observed and compared between the two groups.Results In patients with postoperative stone diameter>1 cm,the stone-free rate of middle and lower segment(95.45%)and the total stone-free rate(94.44%)in the study group were higher than those in the control group,and the difference was statistically significant.In patients with stone diameter≤1 cm,the stone-free rate of middle and lower segment(94.74%)in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the upper stone free rate between patients with different stone diameters(P>0.05).The incidence of complications in the study group(4.55%)was lower than that in the control group,and the difference was statistically significant(χ^(2)=4.181,P<0.05).Conclusion In the treatment of ureteral calculi,ureteral soft lens holmium laser lithotripsy has a significant effect in removing calculi with a diameter of>1 cm,which can reduce inflammation,with fewer complications and high safety.

关 键 词：输尿管软镜钬激光碎石术 输尿管结石 并发症 

分 类 号：R4[医药卫生—临床医学]