输尿管软镜钬激光在肾铸型结石治疗中的临床疗效及安全性观察

Clinical Efficacy and Safety of Ureteroscopic Holmium Laser Lithotripsy in the Treatment of Renal Cast Stones

目的探讨输尿管软镜与钬激光联合治疗肾铸型结石的临床疗效及安全性。方法选择50例于我院治疗的肾铸型结石患者,随机分为两组,每组25例;对照组采用经皮肾穿刺碎石术,观察组实行输尿管软镜钬激光碎石术;比较两组患者术中出血量、住院时间以及术后不良反应发生情况。结果对照组术中出血量、住院时间均多/长于观察组,观察组不良反应发生率明显低于对照组,差异有统计学意义(P<0.05)。结论输尿管软镜钬激光治疗肾铸型结石有助于缩短住院时间,减少术中出血,具有较高的安全性。

Objective To evaluate the clinical efficacy and safety of ureteroscope and holmium laser in the treatment of renal cast calculi. Methods 50 cases of renal cast stone patients treated in our hospital were randomly divided into two groups, 25 cases in each group; The control group received percutaneous nephrolithotomy, and the observation group underwent ureteroscopic holmium laser lithotripsy. The amount of bleeding, the length of stay and the adverse reactions after operation were compared between the two groups. Results The amount of bleeding and the length of stay in the control group were more/longer than those in the observation group, and the incidence of adverse reactions in the observation group was significantly lower than that in the control group, the difference was statistically significant（P〈0.05）. Conclusion Ureteroscopic holmium： YAG laser lithotripsy for renal calculi can shorten the length of stay and reduce bleeding during operation, and has high safety.