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目的分析输尿管结石治疗输尿管镜下钬激光碎石与气压弹道碎石术的临床效果。方法收集2013年3月至2016年5月符合诊断标准的输尿管结石患者250例,均经实验室检查、X线检查、CT检查、膀胱镜以及逆行造影检查确诊,随机分为两组,每组125例。对照组采用气压弹道碎石术治疗,观察组采用输尿管镜下钬激光碎石,比较两组临床治疗效果。结果观察组一次碎石成功率为96.0%(120/125),对照组为84.0%(105/125),观察组高于对照组(P<0.05)。观察组并发症发生率为1.6%(2/125),对照组为8.0%(10/125),观察组并发症发生率低于对照组(P<0.05)。手术时间、术中出血量、住院时间观察组少于对照组,差异有统计学意义(P<0.05)。结论输尿管镜下钬激光碎石相对于气压弹道碎石术,结石清除效果更好,对患者伤害更小,安全性较高。
Objective To analyze the clinical effect of ureteral calculi in ureteroscopic holmium laser lithotripsy and pneumatic lithotripsy. Methods A total of 250 patients with ureteral calculi meeting the diagnostic criteria from March 2013 to May 2016 were collected and confirmed by laboratory examination, X-ray examination, CT examination, cystoscopy and retrograde angiography. The patients were randomly divided into two groups, each group 125 cases. The control group was treated by pneumatic lithotripsy. The observation group was treated with ureteroscopic holmium laser lithotripsy. The clinical effects of the two groups were compared. Results The success rate of primary gravel in the observation group was 96.0% (120/125) and in the control group was 84.0% (105/125). The observation group was higher than the control group (P <0.05). The incidence of complications in the observation group was 1.6% (2/125), in the control group was 8.0% (10/125). The incidence of complications in the observation group was lower than that in the control group (P <0.05). The operation time, intraoperative blood loss, hospitalization time in the observation group were less than those in the control group, the difference was statistically significant (P <0.05). Conclusions Ureteroscopic holmium laser lithotripsy is superior to pneumatic lithotripsy in removing lithiasis and has less harm to the patient and higher safety.