摘要
目的:研究输尿管镜钬激光碎石术对不同成分结石的疗效。方法:回顾性分析2022年1月到2023年7月我院行输尿管镜钬激光碎石术患者175例,根据结石主要成分的不同,分为软石组58例和硬石组117例。比较两组手术有效率、手术操作时间、术后住院时间、需二次手术率以及手术前后疼痛评分(VAS)、术后1个月并发症发生率。结果:软石组均比硬石组手术有效率高[84.48%(49/58)vs.57.26%(67/117)],手术操作时间[(73.86±11.57)min vs.(96.65±16.89)min]、术后住院时间短[(4.34±1.71)d vs.(8.56±1.87)d],需二次手术率低[10.34%(6/58)vs.35.04%(41/117)],术后1个月并发症发生率低[6.90%(4/58)vs.17.95%(21/117)],差异均具有统计学意义(P<0.05)。结论:质地较软结石患者输尿管镜钬激光碎石术的手术效果优良,手术时间短,疼痛更轻,术后恢复快,同时术后并发症少。
Objective:To study the therapeutic effect of ureteroscope holmium laser lithotripsy on different components of stones.Methods:A total of 175 patients who underwent holmium laser lithotripsy with ureteroscope in our hospital from January 2022 to July 2023 were retrospectively analysed,58 cases were divided into soft stone group and 117 case were divided into hard stone group according to the main components of stones.Surgical effectiveness,operative time,postoperative hospitalization stay,rate of secondary operation,and preoperative and postoperative visual analogue score(VAS),and postoperative 1-month complication rate were compared between the two groups.Results:The soft stone group had more effective surgical operation[84.48%(49/58)vs.57.26%(67/117)],shorter operative time[(73.86±11.57)min vs.(96.65±16.89)min],shorter postoperative hospital stay[(4.34±1.71)d vs.(8.56±1.87)d],lower rate of secondary surgery[10.34%(6/58)vs.35.04%(41/117)],and lower postoperative 1-month complication rate[6.90%(4/58)vs.17.95%(21/117)]than those of the hard stone group,and the differences were significant(P<0.05).Conclusion:Ureteroscope holmium laser lithotripsy is more effective on patients with soft stones,which shows excellent surgical effect,shorter operative time,less pain,faster postoperative recovery,and fewer postoperative complications.
作者
陈静
何亮军
陈翔
强鹏
王龙信
Chen Jing;He Liangjun;Chen Xiang;Qiangpeng;Wang Longxin(Department of Urology,Maanshan People's Hospital,Maanshan 243000,China)
出处
《微创泌尿外科杂志》
2023年第6期391-395,共5页
Journal of Minimally Invasive Urology
关键词
结石
输尿管镜
治疗结果
calculi
ureteroscopes
treatment outcome
