摘要
目的:探讨输尿管软镜下钬激光碎石术治疗肾结石的临床效果。方法:将76例肾结石患者按照随机数字表法分成对照组(n=38)和观察组(n=38),对照组采取经皮肾镜碎石取石术治疗,观察组采取输尿管软镜下钬激光碎石术治疗。对比两组肾结石清除率、手术指标、肾损伤程度和并发症发生情况。结果:治疗后,两组结石清除比例差异无统计学意义。观察组肾脏损伤分子-1和血清肌酐低于对照组;手术时间、术中出血量和住院时间等手术指标优于对照组;并发症发生率低于对照组(均P<0.05)。结论:输尿管软镜下钬激光碎石术治疗肾结石既可保持较高的结石清除率,同时还有较高的安全性。
Objective:To investigate the clinical effect of ureteroscopic holmium laser lithotripsy for renal calculi.Methods:Seventy-six patients with nephrolithiasis were randomly divided into a control group(n=38)and an observation group(n=38).The control group was treated with percutaneous nephrolithiasis lithotripsy while the observation group with ureteroscopic holmium laser lithotripsy.The renal stone clearance rate,operative index,degree of renal injury and incidence of complications were compared between the two groups.Results:There were no significant differences in the rate of stone clearance between the two groups after treatment.The levels of renal injury molecule-1 and serum creatinine and the incidence of complications were lower,and the time for operation and hospitalization and the volume of intraoperative bleeding were less in the observation group than the control group(all P<0.05).Conclusion:Ureteroscopic holmium laser lithotripsy for renal calculi can maintain a high stone clearance rate and meanwhile a high safety.
作者
王庆涛
白龙伟
WANG Qingtao;BAI Longwei(Department of Urology,the People’s Hospital of Gongyi,He’nan Province,Gongyi 451200,China)
出处
《上海医药》
CAS
2022年第3期52-53,76,共3页
Shanghai Medical & Pharmaceutical Journal
关键词
输尿管软镜下钬激光碎石术
肾功能损伤
肾结石
ureteroscopic holmium laser lithotripsy
renal function injury
kidney stone
