摘要
目的评价泌尿系结石患者实施钬激光碎石术,并采用输尿管镜进行辅助治疗的效果。方法评价对象选择于2018年10月—2019年10月期间来该院就诊的78例泌尿系结石患者,采用双色球抽签方法进行分组分析,39例开展钬激光碎石术(输尿管镜)治疗的患者纳入实验组,而另39例开展经皮肾镜碎石术治疗的患者纳入对照组,对两种治疗方案的开展效果(疗效、术中出血量、手术时间、并发症发生率、住院天数)进行比对和分析。结果与对照组患者相比,实验组患者治疗总有效率(94.87%)获得提升明显的效果,比对差异有统计学意义(χ2=7.477,P<0.05);与对照组相比对,实验组患者术中出血量(20.76±5.60)mL获得降低明显的效果,而手术时间(58.70±12.10)min则明显较长,住院天数(3.85±1.35)d则获得降低显著的效果,比对差异有统计学意义(t=38.412、4.539、7.078,P<0.05);与对照组相比对,实验组患者并发症发生率(10.26%)获得降低明显的效果,比对差异有统计学意义(χ2=8.419,P<0.05)。结论泌尿系结石治疗中开展钬激光碎石术(输尿管镜)可获得理想的效果,且具有较高的安全性,建议推广。
Objective To evaluate the effect of holmium laser lithotripsy on patients with urinary calculi and ureteroscope for adjuvant treatment.Methods The evaluation objects were selected from 78 patients with urinary calculi who came to the hospital from 2018.10 to 2019.10.The two-color ball lottery method was used for group analysis.39 patients who underwent holmium laser lithotripsy(ureteroscopy)were included in the experimental group.39 patients undergoing percutaneous nephrolithotomy were included in the control group,and the effects of the two treatment options(curative effect,intraoperative blood loss,operation time,complication rate,and hospital stay)were compared and analyzed.Results Compared with patients in the control group,the total effective rate of treatment in the experimental group(94.87%)was significantly improved,and the difference was statistically significant(χ2=7.477,P<0.05);compared with the control group,in the experimental group,the intraoperative blood loss(20.76±5.60)mL was significantly reduced,while the operation time(58.70±12.10)min was significantly longer,and the hospital stay(3.85±1.35)d was significantly reduced,the comparison difference was consistent with the criterion of statistical significance(t=38.412,4.539,7.078,P<0.05);compared with the control group,the complication rate(10.26%)of the experimental group was significantly reduced,the difference was statistically significant(χ2=8.419,P<0.05).Conclusion Holmium laser lithotripsy(ureteroscopy)in the treatment of urinary calculi can achieve ideal results and has high safety.It is recommended to be promoted.
作者
郭彪
薛云秋
GUO Biao;XUE Yun-qiu(Department of Urology,Dongda Hospital,Shanxian County,Heze,Shandong Province,274300 China)
出处
《世界复合医学》
2020年第11期84-86,共3页
World Journal of Complex Medicine
关键词
泌尿系结石
钬激光碎石术
输尿管镜
有效率
Urinary calculi
Holmium laser lithotripsy
Ureteroscopy
Effective
