一期输尿管软镜下钬激光碎石术治疗嵌顿性输尿管上段结石患者的效果评价  

Evaluation of the Efficacy of Holmium Laser Lithotripsy under First-stage Ureteroscopy for the Treatment of Patients with Incarcerated Upper Ureteral Stones

作　　者：侯健 胡栋梁[1] 俞辉[1] HOU Jian;HU Dongliang;YU Hui(Department of Urology,Jiangyin Hospital of Traditional Chinese Medicine,Jiangyin 214400,Jiangsu,China)

机构地区：[1]江阴市中医院泌尿外科,江苏江阴214400

出　　处：《系统医学》2024年第14期107-110,共4页Systems Medicine

摘　　要：目的分析嵌顿性输尿管上段结石实施一期输尿管软镜钬激光碎石术治疗的效果。方法非随机选取2022年9月—2023年9月江阴市中医院收治的78例嵌顿性输尿管上段结石患者为研究对象,按治疗方式不同分为两组,各39例,比照组行输尿管硬镜钬激光碎石术,实践组行一期输尿管软镜钬激光碎石术,对比两组的碎石效果、临床指标、肾功能、疼痛程度及并发症。结果实践组的碎石效果优于比照组,手术时间多于比照组,差异有统计学意义(P均<0.05)。两组的肾功能水平、疼痛程度、出院时间比较,差异无统计学意义(P均>0.05)。实践组并发症发生率为12.80%(5/39),低于比照组的33.33%(13/39),差异有统计学意义(χ^(2)=4.622,P<0.05)。结论输尿管镜软钬激光碎石术治疗嵌顿性输尿管上段结石,一期碎石成功率高,清石效果好,且并发症少。Objective To analyze the effect of one-stage ureteral soft lens holmium laser lithotripsy for the treatment of incarcerated upper ureteral calculi.Methods 78 patients with entrapment ureteral upper calculi admitted to Jiangyin Hospital of Traditional Chinese Medicine from September 2022 to September 2023 were non-randomly selected as the study subjects and divided into two groups according to different treatment methods,39 cases each.The comparison group underwent ureteroscopic holmium laser lithotripsy,while the practice group underwent one-stage ureteroscopic holmium laser lithotripsy.The effects of lithotripsy,renal function,pain degree and complications were compared between the two groups.Results The operation time of practice group were longer than those of comparison group,and the differences were statistically significant(both P<0.05).There was no significant difference in renal function,pain degree and discharge time between the two groups(all P>0.05).The incidence of complications in the practice group was 12.80%(5/39),lower than 33.33%(13/39)in the comparison group,and the difference was statistically significant(χ^(2)=4.622,P<0.05).Conclusion Ureteroscopic soft holmium laser lithotripsy for the treatment of incarcerated upper ureteral calculi has a high success rate,good stone removal effect and few complications.

关 键 词：输尿管上段结石 嵌顿性 输尿管软镜 钬激光碎石术 

分 类 号：R4[医药卫生—临床医学]