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目的:探讨输尿管镜钬激光碎石术治疗输尿管结石临床疗效。方法:采用回顾性分析的方法,针对本医院从2013年12月至2015年3月期间在本医院进行输尿管镜钬激光碎石术治疗输尿管结石疾病的108例病患者的临床资料进行回顾性分析。并对于病患者资料的碎石率、以及排石率和并发症等进行了相关的统计和分析。输尿管结石的直径在0.4cm*0.4cm至1.9cm*2.1cm,输尿管结石的平均直径为1.2cm*1.0cm。结果:输尿管结石病患者手术时间在17min至126min,主要集中于(42.3±23.2)min,输尿管结石病患者手术进行的平均时间为42.3min。输尿管结石病患者单次手术结石粉碎率在95.37%(103/108),病患者在进行手术之后,平均住院的时间在(5±3.1)d。在进行手术后,病患者伴有发烧者有18例次,108例病患者都有较为轻度的血尿,一般在3.5天左右血尿症状可消失。术后发现输尿管狭窄2例,输尿管息肉20例。对108例输尿管结石病患者进行手术之后进行随机采访1至5个月,结石排净率为98.15%(106/108),2例未排净输尿管结石的病患者进行体外冲击波碎石之后得以治愈;2例输尿管病患者进行开放取石术,4例结石上移入肾盂,留置双J管,之后进行外冲击波碎石得以治愈。结论:输尿管镜钬激光碎石治疗术在针对输尿管结石疾病方面并发症较少,而且相对而言比较安全有效,治疗效果更明显,输尿管镜钬激光碎石术属于微创碎石技术。
Objective: To investigate the clinical efficacy of ureteroscopic holmium laser lithotripsy in the treatment of ureteral calculi. Methods: A retrospective analysis was conducted to retrospectively analyze the clinical data of 108 patients undergoing ureteroscopic holmium laser lithotripsy at our hospital from December 2013 to March 2015 in our hospital for ureteral calculi disease. . And for the patient information gravel rate, as well as the rate of stone discharge and complications related statistics and analysis. Ureteral stones range in diameter from 0.4 cm * 0.4 cm to 1.9 cm * 2.1 cm and ureteral stones have an average diameter of 1.2 cm * 1.0 cm. Results: The operation time of patients with ureteral calculi was between 17min and 126min, which was mainly concentrated in (42.3 ± 23.2) min. The average duration of operation for ureteral calculi patients was 42.3min. The rate of single operation stone crushing in patients with ureteral calculi was 95.37% (103/108). The average hospitalization time was (5 ± 3.1) d after the operation. After surgery, patients with fever were 18 cases, 108 patients have more mild hematuria, usually 3.5 days or less hematuria symptoms disappear. Ureteral stenosis was found in 2 cases and ureteral polyps in 20 cases. A total of 108 patients with ureteral calculi were followed up for 1 to 5 months after operation. The rate of stone removal was 98.15% (106/108). Two patients without ureteral calculi were cured after extracorporeal shock wave lithotripsy ; 2 cases of ureteral disease were open lithotomy, 4 cases of stones moved into the renal pelvis, double J tube indwelling, followed by external shock wave lithotripsy be cured. Conclusions: Ureteroscopic holmium laser lithotripsy is a safe and effective treatment for ureteral calculi with fewer complications. Ureteroscopic holmium laser lithotripsy is a minimally invasive technique.