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目的分析电子输尿管软镜下钬激光碎石术治疗肾结石的疗效,并总结护理配合经验。方法收集采用电子输尿管软镜钬激光碎石术治疗的肾结石患者88例,单肾结石62例,双肾结石26例,合计肾结石114侧。结果寻及结石率为92.98%,成功碎石率为91.51%,结石排尽为91.51%;术中出现Ⅰ级压疮1例,术后发热10例,患侧腰痛6例,肉眼可见血尿5例;肾盂及肾中上盏结石寻及结石率高于肾下盏结石。结论电子输尿管软镜下钬激光碎石术治疗肾结石疗效肯定,并发症发生率低,腰痛可能与手术时间延长有关,部分患者可能某侧肾结石无法寻及、碎石失败,需做好应急准备。
Objective To analyze the efficacy of holmium laser lithotripsy under ureteroscope in the treatment of renal calculus, and to sum up nursing experience. Methods Eighty-eight patients with nephrolithotracheal ureteroscopic ureteroscopic lithotripsy were enrolled in this study. Sixty-two cases of single kidney stones and 26 cases of double kidney stones were collected, and the total 114 cases of kidney stones were collected. Results The rate of finding and stones was 92.98%, the success rate of gravel was 91.51% and the stones were drained as 91.51%. One grade Ⅰ pressure ulcer occurred in operation, 10 cases had postoperative fever, 6 cases had ipsilateral lower back pain, Cases; renal pelvis and kidney calyx stones and stones found higher than the lower calyx stones. Conclusions Electronic ureteroscopic holmium laser lithotripsy is effective in treating kidney stones with low complication rate. Low back pain may be related to the prolongation of operation time. Some patients may not be able to find kidney stones on one side and the gravel fails. ready.