输尿管镜下钬激光治疗输尿管结石疗效分析

Efficacy Analysis of Ureteroscope Holmium Laser for Ureteral Calculi

目的:探讨输尿管镜下钬激光治疗输尿管结石的疗效。方法:2010年2月到2012年8月我院共收治输尿管结石患者60例,随机分为治疗组与对照组,每组各30例。对照组采用传统的冲击波碎石手术进行治疗,治疗组则采用输尿管镜钬激光治疗。观察两组患者的手术时间、住院时间、结石排除情况和尿常规等指标的变化情况,并评定患者的治疗效果。结果:治疗组患者的手术时间为(46.25±24.53)min与住院时间(3.51±0.62)d明显少于对照组手术时间(54.93±20.81)min,与住院时间(4.90±1.26)d,组间对比差异明显(P<0.05)。治疗组的有效率与对照组的有效率分别为96.7%和86.7%,组间对比差异明显(P<0.05)。结论:输尿管镜下钬激光治疗输尿管结石具有手术快、创伤少、恢复快等优点,值得推广应用。

Objective： To investigate the efficacy of ureteroscope holmium laser for the treatment of ureteral calculi. Methods： 60 patients with ureteral stones who were treated in our hospital from February 2010 to August 2012 were selected and randomly divided into the treatment group and the control group. The patients in the control group were treated by the conventional shock wave lithotripsy, while the patients in the treatment group were treated by the holmium laser. Then the operation time, hospitalization, stone removal and urine tests of patients in the two group was observed, and the therapeutic effect was evaluated. Results： The operative time of the patients in the treatment group was（46.25±24.53） min and the hospitalization was（3.51±0.62） d which were significantly shorter than those of the patients in the control group（54.93±20.81） min and（4.90±1.26）d（P〈0.05）. The effectiveness of the treatment group were better than that of the patients in the control group（P〉0.05）. Conclusion： Ureteroscope holmium laser treatment of ureteral calculi has effects of surgery quickly, less trauma, quicker recovery, etc.,and that should be widely applied.