输尿管肾镜钬激光碎石术治疗输尿管结石的安全性与有效性分析

Safety and Efficacy Analysis of the Ureteroscope Holmium Laser Lithotripsy for Ureteral Calculi

目的:研究与探讨输尿管结石应用输尿管肾镜钬激光碎石术治疗的安全性与有效性。方法:选择我院收治的148例输尿管上段结石患者,随机分为观察组和对照组,观察组75例采用输尿管肾镜钬激光碎石术进行治疗,对照组73例采用体外冲击波碎石术进行治疗,比较两组患者的手术效果及并发症发生情况。结果:观察组手术时间[(28.6±3.8)min vs(47.5±8.2)min]和住院时间[(5.7±1.3)d vs(7.4±1.9)d]显著短于对照组,碎石成功率、结石排净率显著高于对照组,并发症发生率显著低于对照组,两组有显著性差异,有统计学意义(P<0.05)。结论:输尿管肾镜钬激光碎石术治疗输尿管结石操作简便、安全、微创、高效,值得临床推广应用。

Objective：To study and explore the safety and effectiveness of ureteroscope holmium laser lithotripsy for ureteral calculi. Methods：Our choice of 148 cases of ureteral were on calculus patients were randomly divided into observation group and control group and observation group of 75 patients with ureteral renal mirror holmium laser lithotripsy in the treatment group, 73 cases of the external shock wave lithotripsy treatment, compared between the two groups of patients with surgical effect and complications. Results：The observation group operation time [（28.6±3.8）min vs （47.5±8.2）min] and hospitalization time [（5.7±1.3）d vs （7.4±1.9）d] significantly shorter than control group, gravel success rate, stones row net rate is significantly higher than control group, complication rates significantly lower than control group, two groups have significant difference, there is statistical significance （P〈0.05）. Conclusion：Ureteral renal mirror holmium laser lithotripsy for the treatment of ureteral calculi operation is simple, safe, minimally invasive, high efficiency, it is worth clinical application.