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目的探讨钬激光联合微创经皮肾镜取石术在治疗肾结石中的临床效果。方法 104例进行手术碎石治疗的肾结石患者,按照人院顺序随机分为A、B组,每组52例。A组接受传统经皮肾镜气压弹道碎石、取石术治疗,B组接受微创肾镜钬激光碎石、取石术治疗,观察并记录两组患者的手术时间、术中出血量、住院时间等住院指标,比较两组患者结石清除情况及清石次数,比较两组患者术后出血、切口感染、尿瘘、肾绞痛等并发症发生率。结果 B组患者手术平均时间为(70.83±30.34)min,术中平均出血量为(155.36±10.63)ml,住院时间为(8.70±1.15)d,A组患者手术平均时间为(83.64±35.24)min,术中平均出血量为(173.27±8.41)ml,住院时间为(11.53±1.06)d,比较差异有统计学意义(P<0.05);B组患者1次手术结石完全清除例数为49例(94.23%),显著高于A组的42例(80.77%),差异具有统计学意义(P<0.05);B组患者并发症总发生率为9.62%,远低于A组的34.62%,差异具有统计学意义(P<0.05)。结论钬激光联合微创经皮肾镜取石术在肾结石治疗中安全可靠,效果显著。
Objective To investigate the clinical effects of holmium laser combined with minimally invasive percutaneous nephrolithotomy in the treatment of kidney stones. Methods One hundred and forty patients with kidney stones treated with surgical gravel were randomly divided into groups A and B according to hospital order, with 52 cases in each group. Group A received conventional percutaneous nephrolithotracheal lithotripsy and lithotripsy, Group B received minimally invasive nephroscope holmium laser lithotripsy and lithotripsy. The operation time, intraoperative blood loss, hospital stay And other indicators of hospitalization were compared between the two groups of patients with stone removal and the number of clear stones, postoperative bleeding, incision infection, urinary fistula, renal colic and other complications were compared. Results The average operation time was (70.83 ± 30.34) min in group B, the mean intraoperative bleeding was (155.36 ± 10.63) ml, the hospitalization time was (8.70 ± 1.15) d, the average operation time in group A was (83.64 ± 35.24) min, mean blood loss during operation was (173.27 ± 8.41) ml and hospitalization time was (11.53 ± 1.06) d, with significant difference (P <0.05). The number of complete operation of primary operation in group B was 49 (94.23%) was significantly higher than that of 42 cases (80.77%) in group A, the difference was statistically significant (P <0.05). The total complication rate in group B was 9.62%, which was much lower than that in group A (34.62% , The difference was statistically significant (P <0.05). Conclusion Holmium laser combined with minimally invasive percutaneous nephrolithotomy is safe and reliable in the treatment of renal calculus.