腔内钬激光碎石术与开放手术治疗输尿管结石的临床疗效比较

Comparison of the clinical effects between intracavitary holmium laser lithotripsy and open surgery on the treatment of ureteral calculi

目的比较腔内钬激光碎石术与传统开放手术治疗输尿管结石的临床疗效。方法选择该院泌尿外科2008-01~2015-12收治的118例输尿管结石患者,随机分为碎石术组(88例)和开放手术组(30例),比较两组患者的术中术后情况及结石清除情况。结果碎石术组的手术时间、术中出血量、术后住院时间、术后下床活动时间、术后首次排气时间、术后镇痛药使用率和术后感染率明显低于开放手术组(P<0.05),但两组术后并发症发生率、结石清除率和复发率比较差异无统计学意义(P>0.05)。结论腔内钬激光碎石术治疗输尿管结石疗效显著,且安全可靠、患者痛苦小,其结石清除率和复发率与开放手术相似。

Objective To investigate the clinical effects between intracavitary holmium laser lithotripsy and open surgery on the treatment of ureteral calculi. Methods One hundred and eighteen patients with ureteral calculi in our hospital from January 2008 to December 2015 were selected, and were randomly divided into the lithotripsy group （n = 88） and the open surgery group （n = 30）. The intraoperative and postoperative conditions and stone removals were compared between the two groups. Results The operative time, blood loss, postoperative hospital stay, postoperative ambulation time, the first exhaust time after surgery, postoperative analgesic usage and postoperative refection in the lithotripsy group were significantly shorter or lower than those in the open surgery group （P 〈 01 05 ）. There were no significant differences in the incidences of postoperative complications and the stone clearance rate and recurrence rate between the two groups （ P 〉 0. 05 ）. Conclusion Intracavitary holmium laser lithotripsy is safe and effective for the patients with ureteral calculi.