上尿路结石患者应用经皮肾镜钬激光碎石取石术治疗的效果分析

Effect analysis of percutaneous nephrolithotomy with holmium laser lithotripsy in the treatment of upper urinary tract calculi

目的分析上尿路结石患者应用经皮肾镜钬激光碎石取石术治疗的效果。方法选择2015年6月至2016年11月我院收治的90例上尿路结石患者作为研究对象,按照随机分组原则分为观察组与对照组,各45例。对照组行开放性取石手术,观察组行经皮肾镜钬激光碎石取石术,对比两组的临床效果。结果观察组的手术指标、结石清除情况、并发症发生率均明显优于对照组,差异具有统计学意义(P<0.05)。结论经皮肾镜钬激光碎石取石术用于治疗上尿路结石,不仅可有效缩短患者住院时间,还有利于降低并发症发生率,可在临床推广。

Objective To analyze the effect of percutaneous nephrolithotomy with holmium laser lithotripsy in the treatment of upper urinary calculi. Methods Ninety patients of upper urinary calculi in our hospital from June 2015 to November 2016 were selected as the research objects, and divided into observation group and control group according to the random grouping principle, with 45 cases in each group. The control group underwent open stone surgery, and the observation group underwent percutaneous nephrolithotomy with holmium laser lithotripsy, the clinical effects of the two groups were compared. Results The operation indexes, stone clearance, the incidence rate of complication in the observation group were significantly better than those in the control group, the differences between the two groups were statistically significant（P〈0.05）. Conclusion Percutaneous nephrolithotomy with holmium laser lithotripsy in the treatment of upper urinary tract stones can not only effectively shorten the length of hospital stay, but also help to reduce the incidence of complications,which can be used in clinical practice.