复方石淋通辅助钬激光治疗输尿管结石疗效观察[Word文档].docVIP

复方石淋通辅助钬激光治疗输尿管结石疗效观察 关键字： 复方石淋通辅助钬激光治疗输尿管结石疗效观察 本文为Word文档，感谢你的关注！ 　　[摘要] 目的 探?复方石淋通辅助钬激光治疗输尿管结石的效果。 方法 选取2015年6月～2016年5月期间在我院确诊并择期行钬激光治疗的输尿管结石患者200例，随机分为两组，复方石淋通胶囊辅助钬激光治疗为观察组，单纯钬激光治疗为对照组，其中5例手术过程中改为开放式手术，为脱落病例。观察比较两组结石排净率、住院时间、术后感染、肾绞痛和不良反应发生率，并检测患者术前、术后第7天血肌酐和尿素氮水平。 结果 观察组术后3 d和术后2周结石排净率为57.1%、94.9%，显著高于对照组的35.1%、84.5%，两个时段两组结石排净率差异均具有统计学意义（P0.05）；观察组术后平均住院时间为（2.9±0.4）d，显著低于对照组的（3.8±0.5）d，两组差异具有统计学意义（P0.05）。术后第7天观察组患者SCr、BUN平均水平显著优于对照组和手术前，差异均具有统计学意义（P0.05）；观察组出现术后感染、肾绞痛并发症的发生率仅1.0%、2.0%，显著低于对照组8.2%、12.4%，差异具有统计学意义（P0.05），且两组均无明显不良反应发生。 结论 复方石淋通胶囊辅助钬激光治疗输尿管结石患者能加速结石排出，减少术后感染和肾绞痛，帮助肾功能恢复，临床应用安全有效。 　　[关键词] 复方石淋通胶囊；钬激光；输尿管结石；排净率；肾功能 　　[] R693.4 [] B [] 1673-9701（2016）36-0063-04 　　[Abstract] Objective To explore the effect of compound Shi-Lin-Tong combined with holmium laser in the treatment of ureteral calculi. Methods A total of 200 patients with ureteral calculi who were diagnosed and treated with elective holmium laser in our hospital from June 2015 to May 2016 were enrolled and randomly divided into two groups： the observation group with the treatment of compound Shi-Lin-Tong combined with holmium laser and the control group given holmium laser， of which 5 cases changed to open surgery as special cases. The incidence of stone removal， hospitalization， postoperative infection， renal colic and adverse reactions rate were observed and compared. And the serum creatinine and urea nitrogen levels were measured before and on day 7 after operation. Results The removal rates of stone were 57.1% and 94.9% on day 3 and in the second week after operation， which were significantly higher than those of the control group（35.1% and 84.5%）. The difference of stone removal rate between the two groups was statistically significant significance in the two periods（P0.05）. The average length of hospital stay was（2.9±0.4） days in the observation group， which was significantly lower than that in the control group（3.8±0.5）days， and the difference between the two gr