探讨电子输尿管软镜下钬激光碎石术治疗肾结石的安全性、有效性与适应证

To evaluate the safety, efficacy and indication of holmium laser lithotripsy under electronic ureteroscope for renal calculi

目的:探讨电子输尿管软镜下钬激光碎石术治疗肾结石的安全性、有效性与适应证。方法:收治肾结石患者120例,随机分为对照组和观察组,各60例。对照组给予经皮肾镜手术治疗;观察组给予电子输尿管软镜下钬激光碎石术治疗。结果:观察组患者手术时间、下床活动时间均较对照组短,术中出血量少于对照组(P<0.05),且观察组患者术后并发症发生率显著低于对照组(P<0.05)。结论:电子输尿管软镜下钬激光碎石术治疗肾结石安全性高、并发症少,适用于高龄、体弱、极度肥胖患者。

Objective：To evaluate the safety,efficacy and indication of holmium laser lithotripsy under electronic ureteroscope.Methods：120 patients with renal calculi were selected,they were randomly divided into the control group and the observation group with 60 cases in each group,the control group was treated with percutaneous nephrolithotomy,and the observation group was treated with holmium laser lithotripsy under the electronic ureteroscope.Results：The operation time of the observation group was shorter than the control group,and the amount of bleeding in the operation was less than that of the control group（P〈0.05）,and the incidence of postoperative complications in the observation group was significantly lower than that of the control group（P〈0.05）.Conclusion：Holmium laser lithotripsy under electronic ureteroscope is safe and has fewer complications,it is suitable for elderly,frail and extremely obese patients.