输尿管软镜联合激光治疗非复杂性肾结石疗效及影响因素分析.docVIP

输尿管软镜联合钬激光治疗非复杂性肾结石疗效及影响因素分析 　　[摘要] 目的 研究输尿管软镜联合钬激光治疗非复杂性肾结石疗效及影响因素分析。方法 方便选择2016年5月―2017年5月间收治的74例非复杂性肾结石患者，均提供输尿管软镜联合钬激光治疗，评估疗效、并发症发生情况，分析影响疗效的相关因素。结果 71例患者均1期排净结石，结石清除率为（95.95%），所有患者手术平均用时为（70.2±5.0）min，术后住院时间平均为（6.2±1.0）d，2例患者发生出血（2.70%）。结论 采用输尿管软镜联合钬激光法治疗后，肾结石患者1次碎石成功率高，术后康复效果好，减少2次手术率，提高患者生活质量，具有较高安全性，并发症发生率较低。 中国论文网 /6/viewhtm 　　[关键词] 肾结石；影响因素；输尿管软镜；钬激光 　　[中图分类号] R699 [文献标识码] A [文章编号] 1674-0742（2018）01（b）-0087-03 　　[Abstract] Objective To research the curative effect and influence factors of flexible ureteroscope combined with holmium laser in treatment of non- complex renal calculi. Methods 74 cases of patients with non- complex renal calculi admitted and treated in our hospital from May 2016 to May 2017 were commodiously selected and treated with flexible ureteroscope combined with holmium laser， and the curative effect and occurrence of complications were evaluated， and the curative effect related factors were analyzed. Results 71 cases of patients cleared the stones in 1 stage， and the stones clearance rate was 95.95%， and the average operation time of all patients was （70.2±5.0）min， the average length of stay after surgery was （6.2±1.0）d， and the 2 cases were with hemorrhage （2.70%）. Conclusion The one-time detritus successful rate of flexible ureteroscope combined with holmium laser for renal stones patients is high， with good recovery effect after surgery， which can reduce the second operation rate and improve the quality of life， with high safety and low incidence rate of complications. 　　[Key words] Renal stones； Influence factors； Flexible ureteroscope； Holmium laser 　　肾结石作为泌尿系统常见结石，以男性患者多发，发病年龄集中在青年，肾结石发病危险因素包括遗传、环境因素、饮食习惯、职业等，发病后机体症状包括腰腹部绞痛、患者主诉消化道不适、如恶心，呕吐等，腹胀、血尿、发热、疼痛等，结石移动度较小，可引起阵发性的刀割痛，影响患者日常活动，导致患者生活质量低下[1-2]。临床治疗手段较多，以手术碎石为主，研究方便选择2016年5月―2017年5月间收治的74例非复杂性肾结石患者，均提供输尿管软镜联合钬激光治疗，输尿管软镜应用优势包括微创、安全、疼痛度低等[3]，而钬激光属固定激光，特点为凝固特性好、可准确切割结石、穿透性强，在泌尿外科应用范围较广，联合输尿管软镜联合钬激光治疗，取得较好结果，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　方便选择该院收治的74例非复杂性肾结石患者，均提