摘要
目的:研究探讨输尿管软镜钬激光碎石术对上尿路结石患者结石清除率及并发症的影响.方法:将72例上尿路结石患者作为本次研究的实验对象,依据平均分配的方式进行分组,对照组36例患者进行经皮肾镜碎石术,而试验组36例患者实施的是输尿管软镜钬激光碎石术.对两组患者的结石的清除率、并发症及临床指标进行比较.结果:治疗后,试验组患者出现发热、感染及出血等并发症显著少于对照组,有显著的改善(P<0.05);治疗后,试验组患者术后3个月及半年结石的清除率均显著高于对照组,差异有统计学意义(P<0.05);试验组患者术中出血量、恢复时间显著优于对照组(P<0.05).结论:给结石直径≤2 cm上尿路结石患者实施输尿管软镜钬激光碎石术,不仅提高了结石的清除率,还减少了患者的并发症的发生,同时,也缩短了患者恢复时间及术中的出血量,可用于临床推广使用.
Objective:To study the effect of soft ureteroscopic holmium laser lithotripsy on stone clearance and complications of upper urinary calculi.Methods:72 patients with upper urinary calculi in hospital were selected as subjects,randomly divided into groups,36 patients in control group were treated with percutaneous nephrolithotripsy,and 36 patients in trial group were treated with soft ureteroscopic holmium laser lithotripsy.The stone clearance,complications and clinical indicators of the two groups were compared.Results:The complications of fever,infection and bleeding in the experimental group were significantly lower than those in the control group,with significant improvement(P<0.05).After treatment,the clearance rate of stones in the experimental group was significantly higher than that in the control group for 3 months and half a year(P<0.05).The amount of bleeding and recovery time in the experimental group were significantly better than those in the control group(P<0.05).Conclusion:The soft-mirror laser lithotripsy of upper urinary calculi not only reduces the rate of stone clearance,but also reduces the occurrence of complications,but also shortens the recovery time and the amount of bleeding during operation.
作者
陈进军
CHEN Jing-jun(Susong People's Hospital,Susong 246500,Anhui)
出处
《安徽卫生职业技术学院学报》
2020年第2期55-56,共2页
Journal of Anhui Health Vocational & Technical College
关键词
输尿管软镜钬激光碎石术
上尿路结石
Ureteroscope holmium laser lithotripsy
Upper urinary calculi
