经尿道输尿管肾镜钬激光碎石术治疗肾结石的临床研究.docVIP

精品论文 参考文献 经尿道输尿管肾镜钬激光碎石术治疗肾结石的临床研究 （重庆市巫溪县人民医院泌尿外科 重庆 405800） 　　【摘要】目的：观察和探讨经尿道输尿管肾镜钬激光碎石术治疗肾结石的临床疗效。方法：选择于2015年4 月～2016年4月来我院治疗肾结石的患者120例作为研究对象，随机分为观察组和对照组，每组60例。对照组采用传统的体外冲击波碎石手术，观察组采用输尿管肾镜经尿道输尿管钬激光碎石术进行治疗。观察对比两组患者的住院时间、术中出血量、手术时间，术后并发症以及肾结石取净率等。结果：观察组患者的住院时间、术中出血量、手术时间均低于对照组，并发症情况以及肾结石取净率也显著低于对照组，且具有显著性差异。结论：经尿道输尿管肾镜钬激光碎石术治疗肾结石出血量少、手术时间短、术后恢复快、操作简单等特点，值得在临床上推广应用。 　　【关键词】输尿管肾镜；钬激光；临床研究 　　【中图分类号】R692.4 【文献标识码】A 【文章编号】1007-8231（2016）16-0228-02 　　Study on the clinical efficacy of holmium laser lithotripsy via urethra for the treatment of renal calculi 　　【Abstract】Objective To observe and study the clinical efficacy of transurethral ureteroscope holmium laser lithotripsy for renal calculi. Methods We selected 120 cases of patients who were treated for renal calculi in our hospital from April 2015 to April 2016 as the research object, they were randomly divided into observation group and control group,each group had 60 cases. The control group using conventional extracorporeal shock operation wave lithotripsy, the observation group were treated with transurethral ureteroscope holmium laser lithotripsy. The hospitalization time, bleeding volume, operative time, postoperative complications and renal calculi rate of the two groups were compared. Results The hospital time, amount of bleeding, operation time complications and renal calculi of the observation group were significantly lower than the control group, and the difference was significant. Conclusion The efficacy of holmium laser lithotripsy via urethra for the treatment of renal calculi is significant ,it is worthy of clinical application. 　　【Key words】Ureter mirror; Holmium laser; Clinical study 　　肾结石的治疗方法比较多，比如经皮肾穿刺取石术、体外震波碎石及腹腔镜下肾盂切开取石术等，其中治疗肾结石的常用方法是经皮肾穿刺取石术，但该方法对技术难度比较高且术后并发症多。随着近几年钬激光技术的迅速发展，配合输尿管镜技术，已成为治疗尿路结石的一种重要手段。本文通过对120例患者的治疗手术进行研究，探讨经尿道输尿管肾镜钬激光碎石术治疗肾结石的临床研究，现报告如下。 　　1.资料与方法 　　1.1 一般资料 　　选择于2015年4月～2016年4月我院收治的肾结石患者120例，患者64例，其中男78例，女例42例；年龄24.0～687.5岁，平均（33.