[1]张文崇,谢 纯,李志强.输尿管镜下钬激光碎石取石术对泌尿结石患者碎石成功率及并发症的影响[J].医学信息,2022,35(14):86-88.[doi:10.3969/j.issn.1006-1959.2022.14.019]
　ZHANG Wen-chong,XIE Chun,LI Zhi-qiang.Effect of Ureteroscopic Holmium Laser Lithotripsy on the Success Rate and Complications of Lithotripsy in Patients with Urinary Calculi[J].Medical Information,2022,35(14):86-88.[doi:10.3969/j.issn.1006-1959.2022.14.019]
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输尿管镜下钬激光碎石取石术对泌尿结石患者碎石成功率及并发症的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年14期
页码:
86-88
栏目:
论著
出版日期:
2022-07-15

文章信息/Info

Title:
Effect of Ureteroscopic Holmium Laser Lithotripsy on the Success Rate and Complications of Lithotripsy in Patients with Urinary Calculi
文章编号:
1006-1959（2022）14-0086-03
作者:
张文崇; 谢 纯; 李志强
（上栗县中医院外一科，江西 上栗 337009）
Author(s):
ZHANG Wen-chong; XIE Chun; LI Zhi-qiang
(The First Department of Surgery,Shangli Hospital of Traditional Chinese Medicine,Shangli 337009,Jiangxi,China)
关键词:
输尿管镜; 钬激光碎石取石术; 泌尿结石
Keywords:
Urinary calculi; Holmium laser lithotripsy; Urinary calculi
分类号:
R692.4
DOI:
10.3969/j.issn.1006-1959.2022.14.019
文献标志码:
A
摘要:
目的 研究输尿管镜下钬激光碎石取石术对泌尿结石患者碎石成功率及并发症的影响。方法 选取2019年1月-2020年12月我院诊治的142例泌尿结石患者为研究对象，采用随机数字表法分为对照组和观察组，各71例。对照组采用输尿管镜下气压弹道碎石术，观察组采用输尿管镜下钬激光碎石取石术，比较两组碎石成功率、临床疗效、临床手术指标（手术时间、术后肛门排气时间、术后下床活动时间、住院时间）、疼痛评分、结石排净时间、并发症发生情况。结果 观察组碎石成功率为98.59%，高于对照组的88.73%（P＜0.05）；观察组治疗总有效率为91.55%，高于对照组的81.69%（P＜0.05）；观察组手术时间、术后肛门排气时间、术后下床活动时间、住院时间均短于对照组（P＜0.05）；两组疼痛评分比较，差异无统计学意义（P＞0.05）；观察组结石排净时间短于对照组（P＜0.05）；观察组并发症总发生率为4.23%，低于对照组的14.08%（P＜0.05）。结论 输尿管镜下钬激光碎石取石术对泌尿结石患者碎石成功率及并发症具有积极的影响，可提高碎石成功率和清石效果，缩短手术时间和术后恢复时间，促进结石快速排净，且并发症发生率较低，临床有效性和安全性较高。
Abstract:
Objective To study the effect of ureteroscopic holmium laser lithotripsy on the success rate of lithotripsy and complications in patients with urinary calculi.Methods A total of 142 patients with urinary calculi treated in our hospital from January 2019 to December 2020 were selected as the research objects. They were divided into control group and observation group by random number table method, with 71 cases in each group. The control group was treated with pneumatic lithotripsy under ureteroscope, and the observation group was treated with holmium laser lithotripsy under ureteroscope. The success rate of lithotripsy, clinical efficacy, clinical operation indexes (operation time, postoperative anal exhaust time, postoperative ambulation time, hospitalization time), pain score, stone clearance time, and complications of the two groups were compared.Results The success rate of lithotripsy in the observation group was 98.59%, which was higher than 88.73% in the control group (P<0.05). The total effective rate of the observation group was 91.55%, which was higher than 81.69% of the control group (P<0.05). The operation time, postoperative anal exhaust time, postoperative ambulation time and hospitalization time of the observation group were shorter than those of the control group (P<0.05). There was no significant difference in pain score between the two groups (P>0.05). The stone clearance time in the observation group was shorter than that in the control group (P<0.05). the total incidence of complications in the observation group was 4.23%, which was lower than 14.08% in the control group (P<0.05).Conclusion Ureteroscopic holmium laser lithotripsy has a positive effect on the success rate of lithotripsy and complications in patients with urinary calculi, which can improve the success rate of lithotripsy and stone clearance effect, shorten the operation time and postoperative recovery time, promote the rapid clearance of stones, and the incidence of complications is low, and the clinical efficacy and safety are high.

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更新日期/Last Update: 1900-01-01