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目的对比经输尿管镜钬激光碎石与气压弹道碎石治疗泌尿系结石的临床效果。方法抽取2014年1月—2016年2月在我院行经输尿管镜碎石术的104例泌尿系结石患者作为研究对象,根据手术方式的不同分为对照组与观察组各52例。对照组行经输尿管镜气压弹道碎石术治疗,观察组行钬激光碎石术治疗,对比观察2组患者手术情况及术后并发症发生率。结果观察组患者手术时长、住院时间及术后双J管留置时间均显著短于对照组,差异有统计学意义(P<0.05);观察组患者术后并发症发生率为3.85%,对照组并发症发生率为9.62%,组间比较差异无统计学意义(P>0.05)。结论经输尿管镜钬激光碎石与气压弹道碎石治疗泌尿系结石均较为安全,但钬激光碎石术较气压弹道碎石手术时间更短,术后恢复较快,可有效缩短患者住院时间。
Objective To compare the clinical efficacy of ureteroscopic holmium laser lithotripsy and pneumatic lithotripsy in the treatment of urinary calculi. Methods Totally 104 urolithiasis patients who underwent ureteroscopic lithotripsy in our hospital from January 2014 to February 2016 were selected as the study subjects and divided into control group and observation group according to the different surgical methods. The control group was treated by ureteroscopic pneumatic lithotripsy. The observation group was treated by holmium laser lithotripsy. The operative conditions and the incidence of postoperative complications were compared between the two groups. Results The operation time, hospital stay and postoperative double J tube indwelling time in the observation group were significantly shorter than those in the control group (P <0.05). The incidence of postoperative complications in the observation group was 3.85% Complication rate was 9.62%, there was no significant difference between the two groups (P> 0.05). Conclusion ureteroscopic holmium laser lithotripsy and pneumatic lithotripsy for the treatment of urinary calculi are safer, but holmium laser lithotripsy is shorter than pneumatic lithotripsy, postoperative recovery faster, which can effectively shorten the hospitalization time.