摘要
目的研究钬激光碎石术(HLL)治疗输尿管结石的临床效果及对患者炎症因子的影响。方法选取我院收治的104例输尿管结石患者为研究对象,采用随机数字法分为对照组和观察组,每组52例。对照组采用气压弹道碎石术(PL)治疗,观察组采用HLL治疗,比较两组治疗效果。结果观察组的手术时间、住院时间及血尿消失时间均显著短于对照组,即刻清石率显著高于对照组(P<0.05);手术后,观察组的血清IL-6、IL-10和TNF-α水平均显著低于对照组(P<0.05)。结论 HLL可有效清除输尿管结石,提高患者术后恢复质量,显著减轻患者的炎症反应,安全性较高。
Objective To explore the clinical efficacy of holmium laser lithotripsy (HLL) in the treatment of ureteralcalculi and its effect on inflammatory factors of patients. Methods A total of 104 patients with ureteral calculi admitted in ourhospital were selected as research objects and divided into control group and observation group by applyin grandom numbermethod, with 52 cases in each group. Pneumatic lithotripsy (PL) was applied in the control group, HLL was applied in theobservation group. The treatment effects of the two groups were compared. Results The length of operation, hospital stays anddisappearance time of hematuria in the observation group were significantly shorter than those in the control group,immediate stone clearance rate in the observation group was significantly higher than that in the control group(P〈0.05). Afteroperation, levels of IL-6, IL-10 and TNF-琢 in serum of the observation group were significantly lower than those of thecontrol group (P〈0.05). Conclusion HLL can effectively clear ureteral calculi, improve patients' postoperative recoveryquality, it also can significantly mitigate patients' inflammatory response with higher safety.
作者
康峰
KANG Feng(Urology Surgical Department,No.323 Military Hospital of China,Xi'an 710042,China)
出处
《临床医学研究与实践》
2018年第33期53-54,共2页
Clinical Research and Practice