微创钬激光治疗双肾多发结石的治疗效果分析

Analysis of the efficacy of minimally invasive holmium laser in treating multiple kidney stones

目的:探讨WOLF肾镜钬激光碎石术应用于双肾多发结石的临床治疗效果。方法:选取我科2011年1月至2014年1月间收治的110例双肾结石患者,其中58例患者采用开放手术治疗(对照组),52例应用WOLF肾镜钬激光碎石术治疗,比较两组患者的手术情况,结石清除率以及术后并发症情况。结果:观察组采用微创手术后其手术时间长于对照组(P<0.05),但是术中出血量以及住院时间均明显少于对照组(P<0.05),两组结石清除率比较无明显差异(P>0.05),但是微创手术后观察组的并发症、输血率以及术后发热情况均明显优于对照组(P<0.05)。结论:肾镜具有微创安全的特点,应用于双肾多发结石的治疗术中出血明显少于开放手术,创伤小,术后恢复快,结石清除率高,值得临床推广应用。

Objective： To analyze the effect of minimally invasive holmium laser lithotripsy on treatment for multiple kidney stones. Methods： Among 110 patients with double kidney stones in our department from January2011 to January 2014, 58 cases were treated by open surgery（control group） and 52 cases received WOLF nephroscopic holmium laser lithotripsy（observation group）. The surgery condition, stone clearance rate and postoperative complications of two groups were compared. Results： Surgery time in observation group was longer,but the intraoperative blood loss and hospital stay were significantly less than in control group; stone clearance rate in two groups had no significant difference, but the complications,the rate of blood transfusion and postoperative fever in minimally invasive surgery group were better than in control group： the differences between two groups were statistically significant（P〈0.05）. Conclusions： Nephroscope has the characteristics of minimally invasive and safe; its application in bilateral multiple kidney stones has less intraoperative bleeding smaller trauma, quicker recovery, and higher stone clearance rate. It is worthy of clinical popularization and application.