摘要
目的分析输尿管软镜联合钬激光治疗<20 mm多发性肾结石的临床效果与安全性。方法选择34例多发性<20 mm肾结石患者为观察组,34例单发性<20 mm肾结石患者为对照组,均进行输尿管软镜联合钬激光治疗。比较两组患者的手术相关指标、结石清除效果及并发症发生情况。结果两组的手术时间、手术前后血红蛋白变化值无显著差异(P>0.05);观察组的住院时间长于对照组(P<0.05)。观察组的一次性清石率低于对照组(P<0.05);两组术后3个月总清石率无显著差异(P>0.05)。两组患者的并发症总发生率无显著差异(P>0.05)。结论输尿管软镜联合钬激光碎石术治疗单发性及多发性肾结石均可达到较高的清石率,且并发症发生率较低,但对单发性肾结石的治疗效果更好。
Objective To analyze the clinical effect and safety of flexible ureteroscope combined with holmium laser in the treatment of multiple kidney stones less than 20 mm.Methods Thirty-four patients with multiple kidney stones less than 20 mm were selected as observation group,and 34 patients with single kidney stones less than 20 mm were selected as control group.All patients were treated with flexible ureteroscope combined with holmium laser.The surgical related indexes,stone removal effect and complications were compared between the two groups.Results There were no significant differences in the operation time and the change of hemoglobin before and after operation between the two groups(P>0.05);the hospital stay in the observation group was longer than that in the control group(P<0.05).The one-time clear stone rate of observation group was lower than that of control group(P<0.05);there was no significant difference in the total clearstone rate between the two groups at 3 months after operation(P>0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion Flexible ureteroscope combined with holmium laser lithotripsy in the treatment of single and multiple kidney stones can achieve a higher lithoclearing rate,and the incidence of complications is low,but it has a better effect in the treatment of single kidney stones.
作者
陈劲松
许嘉
袁冬林
郑奇传
CHEN Jinsong;XU Jia;YUAN Donglin;ZHENG Qichuan(Urology Surgery Department,Dangtu People's Hospital,Maanshan 243100;Urology Surgery Department,Maanshan People's Hospital,Maanshan 243000,China)
出处
《临床医学研究与实践》
2021年第11期73-75,共3页
Clinical Research and Practice
关键词
输尿管软镜
钬激光
多发性肾结石
flexible ureteroscope
holmium laser
multiple kidney stones
