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目的探讨输尿管硬镜下钬激光碎石术与气压弹道碎石术治疗输尿管结石的疗效。方法 250例输尿管结石患者,随机分为观察组和对照组,每组125例。观察组给予输尿管硬镜下钬激光碎石术,对照组给予输尿管硬镜下气压弹道碎石术。分析两组患者术后的治疗效果。结果观察组手术时间、住院时间短于对照组,一次性碎石成功率高于对照组(96.8%VS 90.4%),差异有统计学意义(P<0.05)。观察组出现2例并发症,对照组出现并发症9例,比较差异有统计学意义(P<0.05)。结论输尿管硬镜下钬激光碎石术治疗输尿管结石总有效率高、创伤小、恢复快、应用效果肯定,在临床上应大力推广。
Objective To evaluate the efficacy of ureteroscopic lithotripsy and pneumatic lithotripsy in the treatment of ureteral calculi. Methods 250 cases of ureteral calculi were randomly divided into observation group and control group, each group of 125 cases. The observation group underwent ureteroscopic holmium laser lithotripsy, while the control group underwent ureteroscopic pneumatic lithotripsy. Analysis of the two groups of patients after treatment. Results The operation time and hospital stay in the observation group were shorter than those in the control group, and the success rate of the one-off lithotripsy was higher than that of the control group (96.8% VS 90.4%). The difference was statistically significant (P <0.05). There were 2 cases of complications in the observation group and 9 cases of complications in the control group, the difference was statistically significant (P <0.05). Conclusions Ureteroscopic holmium laser lithotripsy for the treatment of ureteral calculi has the advantages of high total effective rate, small trauma, quick recovery and definite application effect, and should be promoted clinically.