摘要
目的分析研究输尿管镜下钬激光碎石治疗输尿管结石的临床效果。方法便利选取该院自2018年1月-2019年5月收治的输尿管结石住院患者90例作为该次研究对象,随机将其分为对照组和实验组,每组45例。其中对照组患者采用气压弹道碎石术进行治疗,实验组选择输尿管镜下钬激光碎石术治疗,比较两组患者治疗后有效率、术后出血量和手术时间等。结果实验组患者的手术出血量为(15.21±2.97)mL,对照组为(18.95±3.66)mL,实验组的术中失血量低于对照组,差异有统计学意义(t=8.699,P<0.05)。实验组手术用时(48.15±6.95)min,对照组为(59.78±8.96)min,实验组手术时间低于对照组,差异有统计学意义(t=10.613,P<0.05)。实验组住院时间(3.25±1.16)d,对照组为(5.62±1.73)d,实验组住院时间低于对照组,差异有统计学意义(t=13.293,P<0.05)。实验组的总有效率为97.8%,对照组的总有效率为88.9%,实验组高于对照组,差异有统计学意义(χ~2=16.550,P<0.05)。结论输尿管镜下钬激光碎石术治疗输尿管结石比气压弹道碎石术更加有效,患者的围手术期基本情况更稳定,说明输尿管镜下钬激光碎石治疗输尿管结石具有更优临床价值。
Objective To analyze the clinical effect of ureteroscopic holmium laser lithotripsy in the treatment of ureteral calculi. Methods From January 2018 to May 2019, 90 hospitalized patients with ureteral calculi were convenient selected as the study subjects. They were randomly divided into control group and experimental group, with 5 cases in each. The patients in the control group were treated with pneumatic lithotripsy, and the patients in the experimental group were treated with ureteroscopic holmium laser lithotripsy. Compare the effective rate after treatment, the amount of postoperative bleeding and the operation time. Results The blood loss was(15.21±2.97 mL in the experimental group and(18.95±3.66) mL in the control group. The blood loss in the experimental group was lower than that in the control group(t=8.699, P<0.05). The operation time was(48.15±6.95)min in experimental group and(59.78 ±8.96)min in control group. The operation time in experimental group was lower than that in control group(t =10.613, P <0.05). The hospital stay was(3.25 ±1.16) d in experimental group and(5.62±1.73)d in control group(t=13.293, P<0.05). The hospital stay in experimental group was lower than that in control group, with statistical significance. The total effective rate was 97.8 % in the experimental group and 88.9 % in the control group, which was higher in the experimental group than in the control group, with statistical significance(χ~2=16.550, P <0.05). Conclusion Ureteroscopic holmium laser lithotripsy is more effective than pneumatic lithotripsy in the treatment of ureteral calculi. The perioperative basic conditions of patients were more stable, indicating that ureteroscopic holmium laser lithotripsy has better clinical value in the treatment of ureteral calculi.
作者
李仲明
罗博
雷鹏远
王吉英
李晓文
郭强
张娜娜
LI Zhong-ming;LUO Bo;LEI Peng-yuan;WANG Ji-ying;LI Xiao-wen;GUO Qiang;ZHANG Na-na(Department of Urology,Second Hospital of Lanzhou University,Xigu Hospital,730060 China)
出处
《中外医疗》
2020年第6期61-63,共3页
China & Foreign Medical Treatment
关键词
输尿管镜
钬激光碎石
输尿管结石
气压弹道碎石
Ureteroscopy
Holmium laser lithotripsy
Ureteral calculi
Pneumatic lithotripsy
