不同麻醉方式下钬激光碎石取石术治疗输尿管中下段结石临床疗效比较

Clinical Efficacy Comparison of Holmium Laser Lithotripsy in the Treatment of Middle and Lower Ureteral Calculi Under Different Anesthesia Methods

目的探讨不同麻醉方式下钬激光碎石取石术治疗输尿管中下段结石的临床效果。方法选取2012年2月~2015年4月我院收取的输尿管中下段结石行钬激光碎石取石术者478例,并按照麻醉方式的不同分为A组（n=232）和B组（n=246）。A组行静脉全麻,B组行局部麻醉,对比两组麻醉下的治疗效果。结果 A组手术时间、术后并发症、结石清除率和半年结石复发率与B组相比,差异无统计学意义（P〉0.05）。B组住院总时间、住院费用低于A组,患者接受满意度高于A组（P〈0.05）。结论两种麻醉方式下行输尿管镜钬激光碎石取石术均可以用于输尿管中下段结石的治疗,但局麻下患者接受度、住院时间、住院费用方面更具优势。

Objective To investigate clinical efficacy of holmium laser lithotripsy in the treatment of middle and lower ureteral calculi under different anesthesia methods. Methods 478 patients from February 2012 to April 2015 in our hospital were selected, and were randomly divided into A group （n=232） and B group （n=246）. Group A was given intravenous anesthesia, while group B was given local anesthesia. Therapeutic effect of two groups were compared. Results The operation time, complications, stone clearance rates and stone recurrence rate of two groups had no statistically significant difference （P〉0.05）. The total hospitalization time, hospitalization costs of group B was significantly lower than group A, and patients satisfaction was significantly higher than group A （P〈0.05）. Conclusion Two kinds of anesthesia methods has similar surgical effect. But local anesthesia has low hospitalization cost and high satisfaction.