摘要
目的探讨输尿管软镜联合钬激光碎石治疗肾结石的疗效和安全性。方法按照随机数字表法将120例肾结石患者分为观察组(n=60)和对照组(n=60),对照组采用经皮肾穿刺取石术治疗,观察组采取输尿管软镜联合钬激光碎石治疗,比较两组手术相关指标、临床疗效以及手术并发症等情况。结果观察组建立通道时间、手术时间、术中出血量、腰痛缓解时间及平均排石时间等指标均明显更优于对照组,差异有统计学意义(P<0.05);观察组患者的治疗总有效率及术后1、2周结石清除率均明显高于对照组,差异具有统计学意义(P<0.05);观察组并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论输尿管软镜联合钬激光碎石治疗肾结石的临床疗效显著,且具有一定的安全性,值得临床推荐。
Objective To investigate the efficacy and safety of flexible ureteroscope combined with holmium laser lithotripsy in the treatment of renal calculi. Methods According to the method of random number table,120 cases of renal calculi were divided into observation group（n=60） and control group （n=60）.The control group was treated with percutaneous nephrolithotomy,and the observation group was treated with ureteroscope combined with holmium laser lithotripsy.The operation related indexes,clinical efficacy and complications of the two groups were compared. Results The time of establishing passages,operative time,intraoperative blood loss,lumbago relieving time and average time of stone expulsion in observation group were significantly better than those in control group,and the differences were statistically significant （P 〈0.05）.The total effective rate of treatment in the observation group and the stone clearance rate of 1 weeks and 2 weeks after operation were significantly higher than those in the control group,the differences were statistically significant（P 〈0.05）.The incidence of complications in the observation group was significantly lower than that in the control group,and the difference was statistically significant （P 〈0.05）. Conclusion The clinical effect of ureteroscopy combined with holmium laser lithotripsy for the treatment of renal calculi is remarkable,and has certain safety.It is worthy of clinical recommendation.
出处
《中国医药科学》
2017年第24期203-206,共4页
China Medicine And Pharmacy
关键词
输尿管软镜
钬激光碎石术
肾结石
并发症
Flexible ureteroscope
Holmium laser lithotripsy
Renal calculus
Complication
