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目的:分析钬激光结合输尿管镜治疗泌尿系结石的临床效果,为临床工作者提供参考。方法:选取2014年1月至2014年12月期间,我院收治的80例泌尿系结石患者。根据患者的意愿将其分为观察组和对照组,各40例,观察组钬激光结合输尿管镜治疗,对照组接受常规冲击波碎石治疗。观察两组治疗效果差异。结果:观察组治疗有效率为100%,一次性碎石排石排净率为92.50%,对照组治疗有效率为87.5%,一次性碎石排石排净率为85.50%,组间比较,差异具有统计学意义(P<0.05)。观察组的平均手术时间、结石排净时间和住院时间均少于对照组,3项时间指标比较,差异具有统计学意义(P<0.05)。结论:钬激光结合输尿管镜治疗泌尿系结石的效果比常规冲击波碎石治疗泌尿系结石的效果更佳。
Objective: To analyze the clinical effect of holmium laser combined with ureteroscopy in the treatment of urinary calculi and provide references for clinicians. Methods: From January 2014 to December 2014, 80 patients with urolithiasis admitted to our hospital were enrolled. According to the wishes of the patients, they were divided into observation group and control group, 40 cases in each group. Holmium laser combined with ureteroscopy in observation group and conventional shock wave lithotripsy in control group. The difference between the two groups was observed. Results: In the observation group, the effective rate of treatment was 100%, the rate of disposable stone drainage was 92.50%, that of the control group was 87.5%, and that of disposable stone was 85.50% The difference was statistically significant (P <0.05). The average operation time, stone discharge time and hospital stay in the observation group were all less than those in the control group. There were significant differences among the three time indexes (P <0.05). Conclusion: Holmium laser combined with ureteroscopic urolithiasis is more effective than conventional shockwave lithotripsy in the treatment of urinary calculi.