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目的对输尿管镜钬激光碎石术治疗经皮肾镜取石术术后残留结石的临床效果进行分析。方法取我院收治的90例经皮肾镜取石术术后残留结石患者为研究对象。观察90例患者的治疗情况,并予以分析。结果 89例患者均一次性成功将输尿管镜置入,1例患者II期置镜成功。手术平均时间为(70.2±2.4)分钟。一次性碎石成功率为85.6%(77/90),住院时间平均为(5.5±0.1)天。术中患者无手术并发症发生,术后患者的生活质量分值与术前差异明显,证实存在统计学意义(P<0.05)。结论对经皮肾镜取石术术后残留结石患者实施输尿管镜钬激光碎石术,效果显著,安全性高,一次性碎石成功率较高。
Objective To analyze the clinical effect of ureteroscopic holmium laser lithotripsy in the treatment of residual stones after percutaneous nephrolithotomy. Methods Totally 90 patients with residual calculus after percutaneous nephrolithotomy were included in this study. The treatment of 90 patients was observed and analyzed. Results A total of 89 patients were successfully treated with ureteroscopy, and one patient underwent stage II mirror placement successfully. The average operation time was (70.2 ± 2.4) minutes. The success rate of one-off gravel was 85.6% (77/90) and the average hospital stay was (5.5 ± 0.1) days. There was no operative complications in patients during operation, and there was significant difference between preoperative and postoperative quality of life scores. There was statistical significance (P <0.05). Conclusions The ureteroscopic holmium laser lithotripsy is performed in patients with residual stones after percutaneous nephrolithotomy. The results are significant, safe, and the success rate of one-off lithotripsy is high.