输尿管镜下钬激光碎石治疗输尿管结石80例疗效剖析.docVIP

输尿管镜下钬激光碎石治疗输尿管结石80例疗效剖析 　　【摘要】目的探讨输尿管镜下钬激光碎石术在输尿管结石治疗中的应用效果。方法选取80例输尿管镜下钬激光碎石术治疗的输尿管结石患者为研究组，并选取同期70例气压弹道碎石手术治疗患者为对照组，观察两组的临床治疗效果。结果治疗后，研究组的总有效率为92.5%，对照组的总有效率为85.7%，两组比较差异无统计学意义（P0.05）；研究组患者手术时间、住院时间和离床活动时间均明显少于对照组，差异有统计学意义（P0.001）；研究组术后并发症发生率为3.8%，明显低于对照组的15.7%，组间比较差异有统计学意义（P0.05）。结论临床中对于输尿管结石患者应用输尿管镜下钬激光碎石术治疗效果显著，操作简单，创伤小，术后恢复快，并发症也比较少，治疗安全性高，值得在临床中应用与推广。 　　【关键词】输尿管结石；输尿管镜；钬激光碎石术 　　中图分类号：R693+4 文献标识码：ADOI：10.3969/j.issn2015.06.014 　　Efficacy of ureteroscopic holmium laser lithography for 　　ureteral calculi：a analysis of 80 cases 　　YANG Tianping，GAN Dianhua，LIU Guohai 　　（Surgical Department，Xinhuang People’s Hospital，Xinhuang 419200，Huaihua，Hunan，China） 　　【Abstract】ObjectiveTo investigate application effect of ureteroscopic holmium laser lithography in the treatment of ureteral calculi.Methods80 cases of ureteral calculi undergoing ureteroscopic holmium laser lithography were selected as research group，and 70 cases undergoing pneumatic ballistic lithotripsy as control group.Then，clinical therapeutic effects of the two groups were observed.Results After treatment，total effective rate of the research group was 92.5%，and that of the control group was 85.7%，difference was not statistically significant（P0.05）.Operative time，length of stay and activity time for getting down from bed in the research group were obviously less than those of the control group，difference was statistically significant（P0.001）.Incidence of postoperative complications of the research group was 3.8%，significantly lower than that （15.7%） of the the control group，difference was statistically significant（P0.05）.ConclusionUreteroscopic holmium laser lithography has remarkable curative effect in the treatment of ureteral calculi with simple operation，small trauma，speedy recovery，few complications and high safety.Thus，it is worthy of application and promotion in clinical practice. 　　【Key words】ureteral calculi；ureteropyeloscopy；holmium laser lithography 　　输尿管结石在泌尿外科中属于常见疾病，在临床中具有