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目的探讨输尿管镜下气压弹道和钬激光碎石术治疗输尿管结石的临床疗效。方法 79例输尿管结石患者,根据手术方式的不同分为A组(32例,给予输尿管镜下气压弹道碎石术)和B组(47例,给予输尿管镜下钬激光碎石术)。比较两组患者手术时间、住院时间、一次性结石清除率及并发症发生率。结果 B组患者手术时间为(40.6±13.6)min、住院时间为(4.0±0.8)d,均短于A组的(51.9±11.7)min、(5.4±1.1)d,差异均具有统计学意义(P<0.05)。B组患者一次性结石清除率为95.74%,高于A组的68.75%,差异具有统计学意义(P<0.05);两组患者术后血尿、发热及输尿管穿孔发生率比较,差异均无统计学意义(P>0.05)。结论输尿管镜下钬激光碎石术相对气压弹道碎石术可提高一次性结石清除率,缩短手术时间、促进患者术后康复。
Objective To investigate the clinical efficacy of ureteroscopic pneumatic ballistics and holmium laser lithotripsy in the treatment of ureteral calculi. Methods A total of 79 patients with ureteral calculi were divided into group A (32 patients undergoing ureteroscopic pneumatic lithotripsy) and group B (47 patients undergoing ureteroscopic holmium laser lithotripsy) according to the surgical method. The operation time, hospitalization time, the rate of one-time stone removal and the complication rate were compared between the two groups. Results The operation time was (40.6 ± 13.6) min in group B and (4.0 ± 0.8) d in hospital, which were significantly shorter than those in group A (51.9 ± 11.7) min and (5.4 ± 1.1) d, respectively (P <0.05). Patients in group B had a one-time stone clearance rate of 95.74%, which was higher than 68.75% in group A (P <0.05). There was no statistical difference in the incidence of hematuria, fever and ureter perforation between the two groups Significance (P> 0.05). Conclusions Ureteroscopic holmium laser lithotripsy relative to pneumatic lithotripsy can improve the rate of stone removal, shorten the operation time and promote postoperative recovery.