细输尿管镜钬激光碎石治疗输尿管结石的临床效果.docVIP

细输尿管镜钬激光碎石治疗输尿管结石的临床效果 　　[摘要]目的 探讨细输尿管镜钬激光碎石术治疗输尿管结石的效果。方法 选择2012年6月～2015年6月我院收治的150例输尿管结石患者作为研究对象，随机分为细输尿镜钬激光组和气压弹道组，每组75例患者，对患者进行时长为3～6个月的随访，观察两组患者的手术情况、碎石的成功率、并发症的发生情况。结果 细输尿镜钬激光组的手术时间为（35.6±6.3）min，住院天数为（6.1±1.4）d；气压弹道组的手术时间为（53.4±8.1）min，住院天数为（8.5±1.4）d，细输尿镜钬激光组的手术时间、住院天数显著低于对照组，差异有统计学意义（P0.05）；细输尿镜钬激光组的一次性碎石成功率为96.00%，显著高于气压弹道组的85.33%，差异有统计学意义（P0.05）；细输尿镜钬激光组的并发症发生率为6.67%，显著低于气压弹道组的16.00%，差异有统计学意义（P0.05）。随访过程中没有发现输尿管狭窄等情况。结论 使用细输尿管镜钬激光碎石治疗输尿管结石碎石，简捷有效、安全，具有一定优势。 　　[关键词]输尿管结石；钬激光；输尿管镜 　　[中图分类号] R693 [文献标识码] A [文章编号] 1674-4721（2016）08（a）-0064-03 　　[Abstract]Objective To study the curative efficacy of fine ureteroscopic holmium laser lithotripsy for the treatment of ureteral calculi.Methods 150 cases of patients who were treated for ureteral calculi from June 2012 to June 2015 in our hospital were selected as the research objects，they were randomly divided into two groups，fine ureteroscope holmium laser group and pneumatic ballistic group，each group had 75 patients，after patients for 3-6 months follow-up，the surgery condition，the success rate of gravel，the incidence of complications of the two groups were compared.Results The operation time of fine ureteroscope holmium laser group was （35.6±6.3） min，the hospitalization time was （6.1±1.4） days；the operation time of pneumatic lithotripsy group was （53.4±8.1） min，the hospitalization time was（8.5±1.4） day，the operation time of fine ureteroscope holmium laser group，duration of hospitalization were significantly lower than those of the control group，and there were significant differences（P0.05）.The success rate of lithotripsy fine ureteroscope holmium laser group was 96.00%，which was significantly higher than that of pneumatic lithotripsy group of 85.33%，and there was a significant difference （P0.05 ）.Fine lose uretroscopic holmium laser group for complication rate was 6.67%，which was significantly lower than that of air pressure ballistic group of 16.00%，with significant difference （P0.05）.Ureteral stricture w