输尿管软镜钬激光碎石术在上尿路结石患者中的应用

APPLICATION OF URETEROSCOPIC HOLMIUM LASER LITHOTRIPSY IN PATIENTS WITH UPPER URINARY CALCULI

目的:探讨输尿管软镜钬激光碎石术治疗上尿路结石的临床效果。方法:42例采用输尿管软镜钬激光碎石术治疗的上尿路结石患者为观察组,同期42例采用经皮肾镜碎石术治疗的上尿路结石患者作为对照组。比较两组患者手术时间、术中出血量、术后胃肠蠕动时间、结石清除率及术后并发症情况。结果:观察组手术时间明显长于对照组,术中出血量、术后胃肠蠕动时间、并发症发生率明显低于对照组(P<0.05);两组患者结石清除率比较,差异无统计学意义(P>0.05)。结论:输尿管软镜钬激光碎石术治疗结石直径小于2cm的上尿路结石具有结石清除率高、术后并发症少的优点,是治疗上尿路结石安全有效的方法。

Objective:To investigate the clinical effects of ureteroscopic holmium laser lithotripsy on treating upper urinary calculi patients.Methods:42 upper urinary calculi patients treated with ureteroscopic holmium laser lithotripsy were selected as observation group;42 patients treated with percutaneous nephrolithotomy were selected as control group at the same term.The operation time,intraoperative blood loss,postoperative gastrointestinal peristalsis time,stone clearance rate and postoperative complications of 2 groups were compared.Results:The operation time of observation group was obviously longer than control group(P<0.05);the intraoperative blood loss,postoperative gastrointestinal peristalsis time and incidence rate of complications of observation group were obviously lower than control group(P<0.05).There was no statistical significance in stone clearance rate between observation group and control group(P>0.05).Conclusions:Treating upper urinary calculi(<2cm)with ureteroscopic holmium laser lithotripsy has the advantages of high stone clearance rate and less postoperative complications,so it isa safe and effective method in the treatment of upper urinary calculi.