摘要
目的探讨在输尿管软镜辅助下对上尿路结石患者开展钬激光碎石术的效果。方法选取2021年1月—2023年12月沭阳中兴医院泌尿外科收治的70例上尿路结石患者为研究对象,按照手术方式不同分成对照组(行经皮肾输尿管镜钬激光碎石取石术)与观察组(输尿管软镜下钬激光碎石取石术),每组35例。比较两组相关手术指标、排石效果及并发症发生情况。结果观察组手术时间、术中出血量、术后下床时间均低于对照组,差异有统计学意义(P均<0.05)。观察组临床排石率为94.29%(33/35),高于对照组的77.14%(27/35),观察组并发症发生率为11.43%(4/35),低于对照组的31.43%(11/35),差异有统计学意义(χ^(2)=4.571、4.158,P均<0.05)。结论输尿管软镜下钬激光碎石取石术的相关手术指标更加理想,对上尿路结石患者而言可优化整体排石效果,还可降低患者并发症发生率。
Objective To investigate the effect of Holmium laser lithotripsy for upper urinary calculi assisted by flexible ureteroscope.Methods A total of 70 patients with upper urinary tract stones admitted to the Department of Urology of Shuyang Zhongxing Hospital from January 2021 to December 2023 were selected as the research objects.They were divided into control group(percutaneous nephroureteroscopic holmium laser lithotripsy)and observation group(Holmium laser lithotripsy under ureteroscopy)by different surgical methods,with 35 cases in each group.The related surgical indicators,stone removal effect and incidence of complications were compared between the two groups.Results The operation time,intraoperative blood loss and postoperative ambulation time in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).The clinical stone removal rate of the observation group was 94.29%(33/35),which was higher than 77.14%(27/35)of the control group,and the incidence of complications of the observation group was 11.43%(4/35),which was lower than 31.43%(11/35)of the control group,and the differences were statistically significant(χ^(2)=4.571,4.158,both P<0.05).Conclusion The surgical indexes of flexible ureteroscopic holmium laser lithotripsy were more ideal,which can optimize the overall stone expulsion effect for patients with upper urinary tract stones,reduce the incidence of complications.
作者
时进
蒋立桂
王峰
严浩
SHI Jin;JIANG Ligui;WANG Feng;YAN Hao(Department of Urology,Shuyang Zhongxing Hospital,Shuyang 223600,Jiangsu,China)
出处
《世界复合医学（中英文）》
2024年第7期103-106,共4页
World Journal of Complex Medicine
关键词
上尿路结石
输尿管软镜下钬激光碎石术
围术期指标
并发症
临床排石率
Upper urinary tract explanation
Holmium laser lithotripsy under ureteroscopy
Perioperative indicators
Complications
Clinical stone expulsion rate
