输尿管结石患者应用输尿管镜钬激光碎石治疗临床效果研究

目的 分析输尿管镜钬激光碎石对输尿管结石的临床疗效情况。方法 选取我院92例输尿管结石患者行分组研究，按患者手术方式不同将其分为对照组及试验组，每组各46例。对照组实施气压弹道碎石；试验组实施钬激光碎石；对比两组手术时间，临床疗效，术后住院天数，住院费用．术后发热及输尿管穿孔发生率。结果 对照组手术时问为（52．53±9．76）min，明显长于试验组（47．68±9．83）min（P〈0．01）。对照组总有效率为84．78％，明显低于实验组97．83％（P〈0．05）。两组住院天数、住院费用、发热、输尿管穿孔发生率对比，P〉0．05，差异无统计学意义。结论 应用输尿管镜钬激光碎石治疗输尿管结石具有手术时问短，碎石成功率高，排石效果好，临床疗效显著等优势。

Objective To analyze the clinical therapeutic effects of ureteroscopic holmium laser lithotripsy for ureteral calculi. Methods Study on the method of grouping of 92 cases of ureteral calculi patients in our hospital were chosen according to the different ways of operation, patients were divided into control group and experimental group, 46 cases in each group. The implementation of the control group with pneumatic ballistic lithotripsy; holmium laser lithotripsy in test group implementation to compare the clinical efficacy of two groups, operation time, postoperative hospital stay, cost uf hospitalization, postoperative fever and ureteral perforation rate. Results in the control group, operation time was （52.53±9.76） rain, significant ly longer than the experimental group （47.68±9.83） rain （〈0. 01）. The control group the total effective rate was 84.78%, significantly lower than the experimental group 97. 83%（P〈0.05）. Two days of hospitalization, cost of hospitalization, fever, ureteral perforation occurred rate, P〉0.05, no significant difference. Conclusion the application of ureteroscopic holmium laser lithotripsy for ureteral calculus with short operation time, high success rate of gravel, stone row effect is good, obvious curative effect and other advantages