腔内钬激光碎石术治疗输尿管结石的临床效果观察

Clinical observation of endovascular holmium laser lithotripsy for ureteral calculi

目的探讨腔内钬激光碎石术治疗输尿管结石的临床疗效。方法选取本院2015年2月至2016年5月泌尿外科收治的112例需手术治疗的输尿管结石患者为研究对象。将所选患者按照手术方式的不同分为对照组、观察组两组,其中对照组采用传统开放性手术取石,观察组采用腔内钬激光碎石术治疗;比较两组患者手术时间、住院时间以及结石清除率等相关临床指标并分析其安全性。结果①观察组手术时间以及住院时间均明显短于对照组,差异有统计学意义(P<0.05);观察组结石清除率为90.91%,对照组为93.48%,两组比较,差异无统计学意义;②观察组术后并发症发生率为7.58%,对照组为21.74%,观察组明显低于对照组,差异有统计学意义(P<0.05)。结论运用腔内钬激光碎石术治疗输尿管结石患者,其临床效果显著,结石清除率与传统开放性手术一致,术后并发症少,值得临床推广。

Objective To investigate the clinical effect of endoscopic holmium laser lithotripsy in the treatment of ureteral calculi. Methods 112 patients with ureteral calculi who need surgical treatment in our hospital from February 2015 to May 2016 were selected as the study subjects. The selected patients were divided into control group and observation group according to different surgical methods. The control group was treated with traditional open surgery and the observation group was treated with holmium laser lithotripsy. The operation time, hospitalization time and stone clearance rate of the two groups were compared and their safety was analyzed. Results ①The operation time and hospitalization time of the observation group were significantly shorter than those of the control group (P<0.05);the stone clearance rate of the observation group was 90.91% and that of the control group was 93.48%. There was no significant difference between the two groups;②The incidence of complications in the observation group was 7.58%, and that in the control group was 21.74%. Compared with the control group, the difference was significant (P<0.05). Conclusion Endovascular holmium laser lithotripsy is effective in the treatment of ureteral calculi. The stone clearance rate is the same as that of traditional open surgery, with fewer complications. It is worthy of clinical promotion.