分析钬激光手术对输尿管结石并发息肉患者的治疗效果及复发情况  

The Treatment Effect and Recurrence of Holmium Laser Surgery in Patients with Polyps Were Analyzed

作　　者：王欣欣 朱永敏[1] 刘艳华 WANG Xin-xin;ZHU Yong-min;LIU Yan-hua(Shangqiu First People's Hospital,Shangqiu 476100,Henan Province,China)

机构地区：[1]商丘市第一人民医院,河南商丘476100

出　　处：《罕少疾病杂志》2024年第10期109-110,124,共3页Journal of Rare and Uncommon Diseases

基　　金：河南省医学科技攻关计划(联合共建)项目(LHGJ20191004)。

摘　　要：目的分析钬激光手术对输尿管结石并发息肉患者的治疗效果及复发情况。方法收集2020年2月至2023年2月期间在我院就诊的输尿管结石并发息肉患者100例中随机选取,分为对照组(n=50)和实验组(n=50)。对照组采用传统的开放式手术进行治疗。实验组采用钬激光手术进行治疗。对比两组患者手术时间、失血量以及住院天数。对比两组患者在治疗前后的血肌酐(Scr)以及血尿素氮(BUN)水平的变化。对比两组患者的手术成功率,并发症发生率和术后6个月的复发率。使用Logistics回归分析来探究影响患者术后复发的危险因素。结果实验组患者手术时间、失血量以及住院天数显著低于对照组患者(P<0.001)实验组患者术后Scr和BUN与对照组相比明显降低(P<0.05)。实验组患者术后成功率与对照组相比不存在统计学差异(P>0.05)。但是实验组患者术后并发症发生率与术后6个月复发率显著低于对照组患者(P>0.05)。Logistic回归分析结果显示饮食习惯和手术方案是影响患者输尿管结石复发的危险因素。结论钬激光手术是治疗输尿管结石和输尿管息肉的有效方法,它不仅能提高患者的生活质量,减少患者的痛苦,还能降低术后并发症的发生和疾病的复发率。Objective To analyze the therapeutic effects and recurrence of Holmium laser surgery in patients with ureteral calculi complicated by polyps.Methods 100 patients with ureteral calculi complicated by polyps who visited our hospital from February 2020 to February 2023 were randomly selected and divided into control group(n=50)and experimental group(n=50).The control group was treated with traditional open surgery,while the experimental group was treated with Holmium laser surgery.The surgical time,blood loss,and length of hospital stay of the two groups were compared.The changes in serum creatinine(Scr)and blood urea nitrogen(BUN)levels before and after treatment in the two groups were compared.The success rates of surgery,incidence of complications,and 6-month postoperative recurrence rates of the two groups were compared.Logistic regression analysis was used to explore the risk factors affecting postoperative recurrence in patients.Results The operation time,blood loss,and hospitalization days of the experimental group were significantly lower than those of the control group(P<0.001).The postoperative Scr and BUN of the experimental group were significantly lower than those of the control group(P<0.05).There was no statistically significant difference in the postoperative success rate between the experimental group and the control group(P>0.05).However,the incidence of postoperative complications and the recurrence rate at 6 months after surgery in the experimental group were significantly lower than those in the control group(P<0.05).Logistic regression analysis showed that dietary habits and surgical plan were risk factors for the recurrence of ureteral calculi.Conclusion Holmium laser surgery is an effective method for treating ureteral calculi and ureteral polyps.It can not only improve the quality of life of patients and reduce their pain,but also reduce the occurrence of postoperative complications and disease recurrence rate.

关 键 词：钬激光手术 输尿管结石 并发息肉 疗效 复发 

分 类 号：R699[医药卫生—泌尿科学]