输尿管镜钬激光碎石术治疗输尿管结石的临床疗效分析

Clinical Efficiency Analysis of Holmium Laser Lithotripsy for Ureteral Stones

目的研究输尿管镜钬激光碎石术治疗输尿管结石的临床疗效。方法将140例单侧输尿管结石患者随机分为观察组和对照组,两组均为70例,对照组予以气压弹道碎石术,观察组予以钬激光碎石术,统计分析两组临床疗效。结果观察组在手术时间、术后血尿持续时间、住院时间、术后1个月血肌酐及尿素氮等方面显著优于对照组,差异有统计学意义(P<0.05)。观察组在碎石成功率、止痛药使用率、术后1个月结石排净率等方面的差异显著优于对照组(P<0.05)。结论钬激光碎石术是治疗输尿管结石的一种高效、安全的方法,值得临床推广运用。

Objective To study the clinical effect of holmium laser lithotripsy for ureteral stones. Methods 140 cases with unilateral ureteral stones were randomly divided into observation group and control group, each group of 70 cases. The control group was treateA with pneumatic lithotripsy, and the observation group were treated with holmium laser lithotripsy. The clinical effect of two groups were statistical analyzed . Results The observation group in the operation time, postoperative hematuria time, hospitalization time, postoperative one month BUN and Cr were significantly better than those of the control group, and the difference was statistically significant （P〈 0.05）. In the observation group, the success rate of lithotripsy, analgesic use rate, after one month the stone clearance rate were significantly better than those of the control group （P〈 0.05）. Conclusion Holmium laser lithotripsy is an effective and safe method in the treatment ofureteral stones.