输尿管软镜钬激光碎石术在中老年肾结石患者中的应用  

Application of Ureteroscopic Holmium Laser Lithotripsy in Middle-aged and Elderly Patients with Kidney Stones

作　　者：潘云涛 陈伟 杨光友 PAN Yuntao;CHEN Wei;YANG Guangyou(Xingyi People's Hospital,Xingyi 562400,China;不详)

机构地区：[1]兴义市人民医院,贵州兴义562400

出　　处：《中外医学研究》2024年第22期135-138,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:研究中老年肾结石(KS)患者治疗中输尿管软镜钬激光碎石术(FURSL)的应用效果。方法:选取2021年11月—2023年11月兴义市人民医院收治的72例中老年KS患者为研究对象,随机分为观察组(36例)与对照组(36例)。观察组行FURSL治疗,对照组行经皮肾镜碎石术(PCNL)治疗;比较两组围手术期指标(手术时间、术中出血量、手术费用、住院时间)、结石清除率及并发症(迟发性出血、感染、肾脏损伤、发热)发生率。结果:观察组手术时间、住院时间短于对照组,术中出血量少于对照组,并发症总发生率低于对照组,手术费用高于对照组,差异有统计学意义(P<0.05)。两组术后1 d、30 d结石清除率比较,差异无统计学意义(P>0.05)。结论:中老年KS患者治疗中FURSL与PCNL结石清除率均较高,PCNL费用低,但创伤大,而FURSL费用较高,但创伤小,安全性高。Objective:To study the application effect of ureteroscopic holmium laser lithotripsy(FURSL)in the treatment of middle-aged and elderly patients with kidney stones(KS).Method:A total of 72 middle-aged and elderly KS patients admitted to Xingyi People's Hospital from November 2021 to November 2023 were selected as the study subjects,and randomly divided into an observation group(36 cases)and a control group(36 cases).Observation group received FURSL treatment,control group received percutaneous nephrolithotripsis(PCNL)treatment.Perioperative indexes(operation time,intraoperative blood loss,operation cost,length of hospital stay),stone clearance rate and incidence of complications(delayed bleeding,infection,kidney injury,fever)were compared between the two groups.Result:The operation time and hospital stay in the observation group were shorter than those in the control group,the amount of intraoperative blood loss was less than that in the control group,the total complication rate was lower than that in the control group,and the operation cost was higher than that in the control group,the differences were statistically significant(P<0.05).There were no significant differences in stone clearance between the two groups at 1 d and 30 d after operation(P>0.05).Conclusion:In the treatment of middle-aged and elderly KS patients,the stone clearance rate of FURSL and PCNL is high,the cost of PCNL is low,but the trauma is large,while the cost of FURSL is high,but the trauma is small,and the safety is high.

关 键 词：输尿管软镜钬激光碎石术 肾结石 经皮肾镜碎石术 并发症 

分 类 号：R699.2[医药卫生—泌尿科学]