摘要
目的探究输尿管下钬激光碎石术对输尿管结石的治疗效果。方法抽取该院于2017年1月—2018年2月收诊的133例输尿管结石患者为研究对象,依据手术治疗方式差异分为A、B两组,分别接受输尿管镜下钬激光碎石术、气压弹道碎石术。比较两组的临床总有效率、日常功能活动评分和手术时间、术中出血、下床活动时间、住院时间等相关手术指标。结果 A组的治疗有效率为92.65%,明显高于B组的87.69%,两组治疗有效率之间差异有统计学意义(χ~2=21.431,P=0.021)。两组治疗后的VAS、分LAS评分都低于治疗前,且两组间差异有统计学意义(P<0.05)。A组的手术时间、术中出血量和住院时间均明显优于B组(t=10.216,11.134,13.214,P<0.05)。结论气压弹道碎石术与输尿管镜下钬激光碎石术均能有效治疗输尿管结石,但输尿管镜下钬激光碎石术的安全性、排石效果均优于气压弹道碎石术。
Objective To study the effect of ureteroscopic holmium laser lithotripsy in treatment of ureteral calculus.Methods 133 cases of patients with ureteral calculus admitted and treated in our hospital from January 2017 to February 2018 were selected and divided into two groups according to different operation treatment methods, the group A and group B were respectively treated with ureteroscopic holmium laser lithotripsy and pneumatic lithotripsy, and the total treatment effective rate, ADL, operation time, intraoperative bleeding amount, time to get out of bed, and length of stay were compared between the two groups. Results The treatment effective rate in the group A was obviously higher than that in the group B,（92.65% vs 87.69%）, and the difference was statistically significant（χ2=21.431,P=0.021）, and the VAS and LAS scores after treatment of the two groups were lower than those before treatment, and the differences between groups were statistically significant（P〈0.05）, and the operation time, intraoperative bleeding amount and length of stay in the group A were obviously better than those in the group B（t=10.216,11.134,13.214,P〈0.05）. Conclusion The ureteroscopic holmium laser lithotripsy and pneumatic lithotripsy can effectively treat the ureteral calculus, but the safety and stone-discharging effect of the former is better than those of the latter.
作者
连亚楠
LIAN Ya-nan(Department of Urinary Surgery,Changzhi Second People＇s Hospital,Changzhi,Shared Province,046000 China)
出处
《系统医学》
2018年第10期65-67,共3页
Systems Medicine
关键词
钬激光碎石
输尿管结石
气压弹道碎石术
Holmium laser lithotripsy
Ureteral calculus
Pneumatic lithotripsy
