钬激光结合输尿管镜治疗泌尿系结石的研究.docVIP

钬激光结合输尿管镜治疗泌尿系结石的研究 　　[摘要] 目的 探讨钬激光结合输尿管镜治疗泌尿系结石的临床疗效及并发症情况。方法 选取我院2011年1月～2012年12月收治的162例泌尿系结石患者，分为实验组81例，对照组81例，实验组采用钬激光结合输尿管镜治疗泌尿系结石，对照组采用常规冲击波碎石治疗泌尿系结石，观察比较两组的临床疗效。结果 钬激光一次性碎石手术后排石排净率高达93.8%；手术的时间为25～125 min，平均时间57 min；手术后住院时间为2～10 d，平均6.0 d；排净结石时间为2～6周，平均3周。实验组治愈81例，总有效率为100.0%；对照组治愈70例，总有效率为86.4%，两组比较差异显著（P 0.05）。结论 钬激光结合输尿管镜治疗泌尿系结石安全有效，并发症少，值得临床推广。 　　[关键词] 钬激光；输尿管镜；泌尿系结石 　　[中图分类号] R699 [文献标识码] B [文章编号] 1673-9701（2014）23-0120-03 　　[Abstract] Objective To study the analysis of ureteroscopy for the treatment of urinary calculi holmium laser combined with the clinical efficacy and complications. Methods Clinical data of 162 cases with urinary calculi from January 2011 to December 2012 were studied，they were divided into the observation group 81cases and control group of 81 cases，the observation group of holmium laser combined with ureteroscopy，the control group used conventional shock wave lithotripsy in the treatment of urinary calculi， compared the clinical efficacy of the two groups. Results About 93.8% stones were fragmented in one treatment session； The time of surgery was 25～125 min（average 57 min）； After the operation， length of hospital was 2～10 d （average 6.0 d）； Row of net stones in time was 2～6 w（average 3 w）. The experimental group were 81 cases，the total effective rate was 100.0%；The control group were 70 cases，the total effective rate was 86.4%，had significant difference（P 0.05）. Conclusion Holmium laser combined with ureteroscopy clinical curative effect of treatment of urinary calculi is safe and effective， with less complications， is worth the clinical promotion. 　　[Key words] Holmium laser；Ureter mirror； Urinary calculi 　　由于人们饮食的多样性及生活工作条件的影响，泌尿系结石发病率呈逐年上升的趋势。泌尿系结石在青壮年人群中常见，一般引起的原因是由于输尿管异物、输尿管狭窄及憨室等[1]。钬激光碎石（holmium laser lithotripsy）是一种新发展起来的碎石技术。本文旨在探讨钬激光结合输尿管镜治疗泌尿系结石的临床疗效及并发症情况，现报道如下。 　　1资料与方法 　　1.1一般资料 　　选取我院2011年1月～2012年12月收治的162例泌尿系结石患者， 分为实验组81例，对照组81例。实验组男42例，女 39例。年龄最小 12岁，最大76岁，平均 （41±5.5）岁。对照组男 41例，女40例。年龄最小14岁，最大77岁，平均（42±4