对比分析输尿管镜钬激光碎石与体外冲击波碎石在治疗输尿管结石中的有效性及安全性  

Comparative Analysis of the Effectiveness and Safety of Ureteroscopic Hol⁃mium Laser Lithotripsy and Extracorporeal Shock Wave Lithotripsy in the Treatment of Ureteral Stones

作　　者：王鹏[1] 李万松 陈玉宝[1] WANG Peng;LI Wansong;CHEN Yubao(Department of Surgery IV,No.943 Hospital of the Joint Logistics Support Force of the Chinese People′s Liberation Army,Wuwei 733000,Gansu,China)

机构地区：[1]中国人民解放军联勤保障部队第九四三医院外四科,甘肃武威733000

出　　处：《系统医学》2024年第13期134-137,共4页Systems Medicine

摘　　要：目的对比分析输尿管镜钬激光碎石术与体外冲击波碎石术在治疗输尿管结石的疗效及安全性方面的异同。方法本研究回顾性选取2023年2月—2024年2月中国人民解放军联勤保障部队第九四三医院接受治疗的100例输尿管结石患者的临床资料。根据治疗方式的不同分为两组,每组50例。常规组接受体外冲击波碎石治疗,探究组采用输尿管镜钬激光碎石治疗。对比两组炎症因子水平、并发症发生率、治疗有效率及结石清除率。结果治疗后,探究组炎症因子水平、并发症发生率均低于常规组,差异有统计学意义(P均<0.05);治疗后,探究组治疗有效率(96.00%)及结石清除率(94.00%)均高于常规组(82.00%、80.00%),差异有统计学意义(χ^(2)=5.005、4.332,P均<0.05)。结论相较于体外冲击波碎石,输尿管镜钬激光碎石在治疗输尿管结石方面表现出更加优越的疗效和更可靠的安全性,具有较低的炎症因子水平和并发症发生率,同时提高了治疗有效率和结石清除率。Objective To compare the efficacy and safety of ureteroscopic holmium laser lithotripsy and extracorporeal shock wave lithotripsy in the treatment of ureteral calculi.Methods This study retrospectively selected the clinical data of 100 patients with ureteral calculi who received treatment in 943 Hospital of the Chinese People's Liberation Army Joint Logistic Support Force from February 2023 to February 2024.They were divided into two groups according to different treatment methods,with 50 cases in each group.The conventional group received extracorporeal shock wave lithotripsy and the exploratory group received ureteroscopic holmium laser lithotripsy.The levels of inflammatory factors,incidence of complications,effective rate of treatment and stone clearance were compared between the two groups.Results After treatment,the levels of inflammatory factors and the incidence of complications in the explora-tion group were lower than those in the conventional group,the difference were statistically significant(all P<0.05).Af-ter treatment,the effective rate(96.00%)and the stone clearance rate(94.00%)in the exploration group were higher than those in the conventional group(82.00%and 80.00%),and the differences were statistically significant(χ^(2)=5.005,4.332,both P<0.05).Conclusion Compared with extracorporeal shock wave lithotripsy,ureteroscopic holmium laser lithotripsy has shown superior efficacy and more reliable safety in the treatment of ureteral calculi,with lower lev-els of inflammatory factors and complications,and improved treatment efficiency and stone clearance rate.

关 键 词：输尿管结石 输尿管镜钬激光碎石 治疗有效率 结石清除率 并发症发生率 

分 类 号：R699.4[医药卫生—泌尿科学]