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目的对比观察输尿管镜下气压弹道碎石术治疗尿道结石的临床效果及并发症分析。方法收集收治的75例尿道结石并尿潴留患者的临床资料,根据术中碎石方法的不同将75例患者分为观察组(n=35)和对照组(n=40),对照组采用输尿管镜钬激光尿道结石碎石取石术,观察组则采用输尿管镜下气压弹道碎石处理尿道结石,对比两组患者手术时间、术中出血情况、术中冲洗液用量、留置尿管时间等指标,统计两组患者术后结石残留、尿道出血、感染、尿道狭窄等并发症的发生情况,并行统计学对比。结果观察组患者手术时间(25.6±10.3)min、术中出血量(2.5±0.7)ml、术中冲洗液用量(1270.4±93.5)ml、术后留置尿管时间(8.4±2.1)h,与对照组同指标对比差异存在统计学意义(P<0.05);观察组患者共发生尿道出血、感染等并发症2例,发生率5.7%,显著优于对照组,差异亦存在统计学意义(P<0.05)。结论输尿管镜下气压弹道碎石是治疗尿道结石的有效手术方案,与钬激光碎石方案相比,气压弹道碎石对尿道黏膜的保护作用更优,术中出血几率少,术后并发症发生率低,值得临床推广应用。
Objective To compare the clinical effects and complications of ureteroscopic pneumatic lithotripsy in the treatment of urethral calculus. Methods The clinical data of 75 patients with urethral calculus and urinary retention were collected and divided into observation group (n = 35) and control group (n = 40) according to different lithotripsy methods. The control group was treated with ureter Mirror holmium laser lithotripsy lithotripsy, the observation group was treated with ureteroscopic pneumatic lithotripsy of urethral stones, compared two groups of patients operating time, intraoperative bleeding, the amount of irrigation fluid, indwelling catheter time and other indicators, Statistics of the two groups of patients postoperative residual stones, urethral bleeding, infection, urethral stricture and other complications, parallel statistical comparison. Results The operation time (25.6 ± 10.3) min, intraoperative bleeding volume (2.5 ± 0.7) ml, operation volume of irrigating fluid (1270.4 ± 93.5) ml and postoperative indwelling catheter time (8.4 ± 2.1) h were The difference between the control group and the index was statistically significant (P <0.05). There were 2 cases of urethral hemorrhage and infection in the observation group, the incidence was 5.7%, which was significantly better than the control group (P <0.05). Conclusions Ureteroscopic pneumatic lithotripsy is an effective surgical treatment of urethral calculus. Compared with holmium laser lithotripsy, pneumatic lithotripsy is more effective in protecting the urethral mucosa, less bleeding during operation, and postoperative complications Low rate, it is worth to promote clinical application.