输尿管软镜与经皮肾镜联合钬激光治疗肾和输尿管上段结石的临床分析

Clinical Analysis of Holmium Laser Combined with Flexible Ureteroscope or Percutaneous Nephrolithotomy for the Treatment of Kidney and Upper Ureteral Calculi

目的研究输尿管软镜联合钬激光治疗肾和输尿管上段结石患者的临床效果。方法 84例肾和输尿管上段结石患者随机分为两组各42例,观察组患者采用输尿管软镜联合钬激光治疗,对照组患者采用经皮肾镜联合钬激光治疗,比较两组的治疗指标、排石率以及并发症。结果观察组的手术时间显著长于对照组,术中出血量、住院时间均显著优于对照组(P <0.05)。观察组的排石率为95.24%,显著高于对照组的76.19%(P <0.05)。两组的并发症发生率比较,差异无统计学意义(P>0.05)。结论输尿管软镜联合钬激光治疗肾、输尿管上段结石中具有较好的临床效果。

Objective To study the clinical effects of holmium laser combined with flexible ureteroscope or percutaneous nephrolithotomy for the treatment of kidney and upper ureteral calculi. Methods 84 cases of patients with kidney and upper ureteral calculi were randomly divided into two groups equally. The control group was treated with percutaneous nephrolithotomy combined with holmium laser, while the observation group was treated with flexible ureteroscope combined with holmium laser. The treatment indicators, removing rate of calculi and complications were compared between the two groups. Results The operation time of the observation group was significantly longer than that of the control group, and the intraoperative blood loss volume and hospitalization time were significantly better than those of the control group （P〈0.05）. The removing rate of calculi of the observation group was 95.24%, significantly higher than 76.19% of the control group （P 〈0.05）. No statistical difference was found between the two groups in the incidence of complications （P 〉0.05）. Conclusions Flexible ureteroscope combined with holmium laser for the treatment of kidney and upper ureteral calculi has good clinical effect.