输尿管镜下钬激光碎石手术治疗输尿管结石的评价  

Evaluation of Holmium Laser Lithotripsy under Ureteroscopy for the Treatment of Ureteral Stones

作　　者：倪芊芊 Qianqian Ni(Pinghu Xinhua Hospital,Pinghu,Zhejiang 314200)

机构地区：[1]平湖新华医院,浙江平湖314200

出　　处：《医学研究前沿》2025年第1期16-18,共3页Frontiers of Medical Research

摘　　要：目的分析输尿管镜下钬激光碎石术治疗输尿管结石的临床效果。方法选取2021年3月至2024年8月接受手术治疗的80例输尿管结石患者为研究对象,根据手术方式的不同分为参考组和实验组,每组40例,参考组接受气压弹道碎石术治疗,实验组接受输尿管镜下钬激光碎石术治疗。对比两组的手术相关指标、肾功能指标、炎症因子以及并发症发生情况。结果实验组的手术时间、导尿管移除时间以及住院时间显著短于参考组,且术中出血量显著低于参考组(P<0.05);实验组的肾功能指标显著优于参考组(P<0.05);实验组的炎症因子显著低于参考组(P<0.05);实验组的并发症发生率显著低于参考组(P<0.05)。结论输尿管镜下钬激光碎石术在治疗输尿管结石方面展现出卓越的临床效果,其不仅加速了患者的康复进程,还促进了肾功能的恢复,有效降低了炎症反应,并减少了术后并发症的发生,是一种值得在临床实践中广泛推广与应用的治疗手段。Objective To analyze the clinical effect of holmium laser lithotripsy under ureteroscopy in the treatment of ureteral stones.Method 80 patients with ureteral stones who underwent surgical treatment from March 2021 to August 2024 were selected as the study subjects.They were divided into a reference group and an experimental group according to different surgical methods,with 40 cases in each group.The reference group received pneumatic lithotripsy treatment,while the experimental group received holmium laser lithotripsy treatment under ureteroscopy.Compare the surgical related indicators,renal function indicators,inflammatory factors,and incidence of complications between the two groups.Result The surgical time,catheter removal time,and hospitalization time of the experimental group were significantly shorter than those of the reference group,and the intraoperative bleeding volume was significantly lower than that of the reference group(P<0.05);The renal function indicators of the experimental group were significantly better than those of the reference group(P<0.05);The inflammatory factors in the experimental group were significantly lower than those in the reference group(P<0.05);The incidence of complications in the experimental group was significantly lower than that in the reference group(P<0.05).Conclusion Holmium laser lithotripsy under ureteroscopy has shown excellent clinical effects in the treatment of ureteral stones.It not only accelerates the recovery process of patients,but also promotes the recovery of renal function,effectively reduces inflammatory reactions,and reduces the occurrence of postoperative complications.It is a treatment method worth widely promoting and applying in clinical practice.

关 键 词：输尿管结石 输尿管镜 钬激光碎石术 肾功能 炎症因子 

分 类 号：R699.4[医药卫生—泌尿科学]