钬激光碎石治疗老年输尿管结石的效果分析

Effect of holmium laser lithotripsy on elderly ureteral calculi patients

目的分析钬激光碎石在老年输尿管结石治疗中的应用效果。方法随机选取江阴市中医院老年输尿管结石患者86例,依照其入院顺序将其分为观察组44例和对照组42例。对照组给予传统开放性手术方式治疗,观察组患者给予输尿管镜下钬激光碎石术治疗。观察两组患者术中及术后相关情况,并比较两组患者的治疗效果。结果两组患者治愈率比较差异未见统计学意义(P>0.05);观察组患者手术时间、术后胃肠功能恢复时间、术后住院时间及术后输液时间明显少于对照组(P<0.05);观察组患者镇痛药物使用率、术中出血量、术后双J管移位发生率、术后不良反应率及再次碎石率均明显优于对照组(P<0.05)。结论钬激光碎石术可有效缩短老年输尿管结石患者手术时间,降低病情复发率,有重要临床价值,值得广泛推广使用。

Objective To analyze the effects of holmium laser lithotripsy on elderly ureteral calculi patients. Methods Randomly selected 86 elderly ureteral stones patients in Jiangyin hospital ＇affiliated to Nanjing university of traditional Chinese medicine, according to their admission time order, and divided them into the observation group （44 cases ） and control group （42 cases）. Patients in control group were treated by traditional open surgical, and patients in observation group were treated by ureteroscopieal holmium laser surgery. The circumstances during and after the operation of the two groups were observed, and compared their outcomes. Results There was no significant difference in the cure rate between the two groups （P 〉 0. 05 ） ; the operative time, gastrointestinal function recovery, postoperative hospital stay, and postoperative transfusion times in the observation group were obviously shorter than those in the control group （P 〈 0.05）. After operation, the rate of analgesic drug uses, blood loss, double-J tube displacement rate, adverse reaction rate and reoperated rate after gravel in the observation group was obviously better than those in the control group （ P 〈 0.05 ）. Conclusion Holmium laser lithotripsy under ureteroscopy can effectively shorten operation time and reduce the risk of disease relapse rate. It has a good medical value, and it＇ s worthy of widdy used.