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输尿管软镜联合头端可弯负压鞘激光碎石术的临床应用与效果评估

Clinical Application and Effectiveness Evaluation of Ureteroscopy Combined with Flexible Negative Pressure Sheath Laser Lithotripsy at the Head End
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摘要 目的探讨输尿管软镜联合头端可弯负压鞘激光碎石术的临床应用效果。方法纳入2023年12月—2024年10月140例输尿管结石患者,随机分为对照组和试验组,每组70例。对照组接受传统输尿管软镜激光碎石术,试验组应用联合头端可弯负压鞘技术。观察指标包括手术时间、结石清除率、术后并发症发生率及术后住院时间等。结果试验组手术时间显著短于对照组,结石清除率显著高于对照组,术后并发症发生率低于对照组,术后住院时间短于对照组,差异均具有统计学意义(P<0.05)。结论输尿管软镜联合头端可弯负压鞘激光碎石术可显著提高结石清除率,缩短手术时间及住院时间,降低术后并发症发生率,具有较高的临床应用价值。 Objective To explore the clinical application effect of ureteroscopy combined with flexible negative pressure sheath laser lithotripsy.Methods From December 2023 to October 2024,a total of 140 patients with ureteral stones were enrolled and randomly divided into a control group and an experimental group,with 70 cases in each group.The control group received traditional ureteroscopic laser lithotripsy,while the experimental group received combined head end flexible negative pressure sheath technology.The observation indicators include surgical time,stone clearance rate,incidence of postoperative complications,and postoperative hospital stay,and are expressed as mean±standard deviation.Results The surgical time of the experimental group was significantly shorter than that of the control group,the stone clearance rate was significantly higher than that of the control group,the incidence of postoperative complications was lower than that of the control group,and the postoperative hospitalization time was shortened(P<0.05).Conclusion The combination of ureteroscopy and flexible negative pressure sheath laser lithotripsy can significantly improve the stone clearance rate,shorten the operation time and hospital stay,and reduce the postoperative complication rate.It has high clinical application value.
作者 关永志 阿不都木塔力甫·帕塔尔 艾孜麦提·阿不都热合曼 阿不都赛买提·艾力 辛瑞平 GUAN Yongzhi;Abudumutalifu Patar;Aizimaiti Abudureheman;Abdusaiti Ali;XIN Ruiping(Xinhua Hospital of Ili Kazakh Autonomous Prefecture,Ili,Xinjiang 835000)
出处 《智慧健康》 2025年第27期117-119,123,共4页 Smart Healthcare
关键词 输尿管软镜 头端可弯负压鞘 激光碎石术 Ureteroscope Head end bendable negative pressure sheath Laser lithotripsy
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