摘要
目的:探讨输尿管软镜下钬激光碎石术碎石的临床效果。方法:收集2019年2月至2020年12月诊治的84例择期行碎石治疗的患者。按照入院时间分为观察组42例和对照组42例。对照组采用经皮肾镜取石术治疗,观察组采用输尿管软镜钬激光碎石术治疗。观察两组结石清除疗效。结果:观察组38例一次性碎石成功,37例结石清除,对照组分别为31例和30例,组间差异有统计学意义(P<0.05)。观察组术后1、3 d的血肌酐水平分别为(91.02±6.33)μmol/L和(80.02±6.27)μmol/L,对照组分别为(98.67±7.25)μmol/L和(88.85±6.58)μmol/L,组间差异有统计学意义(P<0.05)。观察组术后1、3 d的白蛋白水平分别为(24.33±3.67)mg/24 h和(18.11±4.24)mg/24 h,对照组分别为(39.64±4.21)mg/24 h和(24.19±4.06)mg/24 h,组间差异有统计学意义(P<0.05)。观察组1例出现并发症,对照组9例,组间差异有统计学意义(P<0.05)。结论:输尿管软镜下钬激光碎石术的碎石效果较好,能够提高一次性碎石成功率和结石清除率,患者术后的肾功能指标较好,且并发症发生率较低,临床可结合患者的实际情况,选择治疗方式。
Objective: To investigate the clinical effect of holmium laser lithotripsy under flexible ureteroscope.Methods: A total of 84 patients with elective lithotripsy who were diagnosed and treated from February 2019 to December 2020 were collected. According to the time of admission, they were divided into an observation group of 42 cases and a control group of 42 cases. The control group was treated with percutaneous nephrolithotomy. The observation group was treated with ureteroscopic holmium laser lithotripsy. The stone removal effect of the two groups was observed.Results: In the observation group, 38 cases of one-time lithotripsy were successful, the stones were removed in 37cases, there were 31 cases and 30 cases in the control group, respectively, and the difference between the groups was statistically significant(P<0.05). The serum creatinine levels of the observation group at 1 and 3 days after operation were(91.02±6.33) μmol/L and(80.02±6.27) μmol/L, respectively, the control group was(98.67±7.25)μmol/L and(88.85±6.58) μmol/L, respectively, and the difference was statistically significant(P<0.05). The albumin levels of observation group 1 and 3 days after operation were(24.33±3.67) mg/24 h and(18.11±4.24) mg/24 h,respectively, the control group was(39.64±4.21) mg/24 h and(24.19±4.06) mg/24 h respectively, and the difference was statistically significant(P<0.05). Complications occurred in 1 case in the observation group and 9 cases in the control group, and the difference between the two groups was statistically significant(P<0.05). Conclusion: Holmium laser lithotripsy under ureteroscope has good lithotripsy effect, which can improve the success rate of one-time lithotripsy and stone clearance rate, the postoperative renal function index of the patient is good, and the incidence of complications is low, and the clinical treatment can be selected according to the actual situation of the patient.
作者
简月晃
吴石萍
周航
谢明
JIAN Yuehuang;WU Shiping;ZHOU Hang;XIE Ming(Department of Urology of the Third People’s Hospital of Pingxiang,Jiangxi 337000,China)
出处
《上海医药》
CAS
2022年第8期25-27,62,共4页
Shanghai Medical & Pharmaceutical Journal
关键词
输尿管结石
输尿管软镜
钬激光碎石术
ureteroscopy
holmium laser lithotripsy
crushed stone
ureteral calculi
