尿道狭窄合并尿道结石患者应用经输尿管镜钬激光术的疗效分析  

Efficacy Analysis of Transureteroscopic Holmium Laser in the Treatment of Urethral Stricture Complicated With Urethral Calculi

作　　者：马军 马朝霞 王怡婷 MA Jun;MA Chaoxia;WANG Yiting(Department of Surgery,Wuwei Traditional Chinese Medicine Hospital,Wuwei Gansu 733000,China)

机构地区：[1]武威市中医医院外科,甘肃武威733000

出　　处：《中国卫生标准管理》2024年第19期97-100,共4页China Health Standard Management

摘　　要：目的探讨尿道狭窄合并尿道结石患者进行经输尿管镜钬激光术的临床疗效。方法选取2021年10月—2023年10月于武威市中医医院外科就诊的尿道狭窄合并尿道结石患者68例,采用随机数字表法分为观察组与对照组,各34例。对照组患者采用常规的电切镜冷刀术治疗,观察组采取经输尿管镜钬激光术治疗。比较2组患者的临床疗效、手术情况及并发症发生情况。结果观察组总有效率(88.23%)高于对照组(52.94%),差异有统计学意义(P<0.05)。观察组的术中出血量、膀胱痉挛次数、碎石时间及手术时间均低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率(8.82%)低于对照组(29.41%),差异有统计学意义(P<0.05)。结论对尿道狭窄合并尿道结石患者进行治疗时,可以采取经输尿管镜钬激光术,不仅可以有效提高患者的临床疗效,而且也能够确保手术的顺利进行,使患者的手术指标更加稳定,促进患者早日康复。Objective To explore the clinical effect of transureteroscopic holmium laser surgery in patients with urethral stricture combined with urethral calculi.Methods A total of 68 patients with urethral stricture and urethral stones who were treated in the department of surgery at Wuwei Traditional Chinese Medicine Hospital from October 2021 to October 2023 were selected and randomly divided into an observation group and a control group,using a random number table method,with 34 patients in each group.The control group patients were treated with conventional electrocautery cold knife surgery,while the observation group was treated with ureteroscopy holmium laser surgery.The clinical efficacy,surgical outcomes,and incidence of complications between two groups were compared.Results The total effective rate of the observation group(88.23%)was higher than that of the control group(52.94%),and the difference was statistically significant(P<0.05).The intraoperative blood loss,bladder spasm frequency,stone fragmentation time,and surgical time in the observation group were all lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group(8.82%)was lower than that in the control group(29.41%),and the difference was statistically significant(P<0.05).Conclusion In the treatment of patients with urethral stricture combined with urethral calculi,transureteroscopic holmium laser can be adopted,which can not only effectively improve the clinical efficacy of patients,but also ensure the smooth operation,make the surgical index of patients more stable,and promote the early recovery of patients.

关 键 词：经输尿管镜钬激光术 尿道狭窄 尿道结石 临床疗效 手术指标 并发症 

分 类 号：R691[医药卫生—泌尿科学]