摘要
目的:探讨电子输尿管软镜下钬激光碎石术、镍钛合金取石网篮处理联合用于肾结石患者临床治疗的效果。方法:选取76例肾结石患者分为随机分为对照组(n=38)和观察组(n=38)。对照组行电子输尿管软镜钬激光碎石术治疗,观察组再加施镍钛合金取石网篮处理,观察两组手术指标、清石情况等。结果:与对照组相比,观察组平均手术时间显著较长,患者术后首次下床及住院时间均显著更短,患者手术次数显著更少(P<0.05);观察组一次性清石率显著高于对照组,石街形成率、并发症总发生率均显著低于对照组(P<0.05)。结论:给予肾结石患者电子输尿管软镜下钬激光碎石术联合镍钛合金取石网篮处理,可明显提高一次性清石率,减少术后并发症,有助于患者术后获得更快。
Objective:To explore the clinical effect of holmium laser lithotripsy combined with nitinol alloy basket in the treatment of renal calculi.Methods:Seventy-six patients with renal calculi were randomly divided into a control group(n=38)and an observation group(n=38).The control group was treated with holmium laser lithotripsy under electronic ureteroscope and the observation group with nitinol alloy stone basket besides.Results:The average operation time was significantly longer,the time for patients to first get out of bed and stay in hospital were significantly shorter and the number of operations was significantly less in the observation group than the control group(P<0.05).The one-time clear rate of the stone was significantly higher and the rate of the formation of stone street and the total incidence of complications were significantly lower in the observation group than the control group.Conclusion:The combination of two therapies can significantly improve the rate of one-time stone removal,reduce the occurrence of postoperative complications and is of benefit to postoperative faster recovery of patients.
作者
王志伟
刘江
欧阳唐锋
WANG Zhiwei;LIU Jiang;OUYANG Tangfeng(Department of Urology Surgery,Xin’gang Central Hospital,Jiangxi Xinyu 338000,China)
出处
《上海医药》
CAS
2019年第23期64-66,共3页
Shanghai Medical & Pharmaceutical Journal
基金
电子输尿管软镜钬激光处理输尿管结石及肾结石(≤2 cm)的临床应用(项目编号:余科发〔2018〕24合同号20183090847)
关键词
肾结石
电子输尿管软镜
钬激光碎石术
取石网篮
renal calculus
electronic flexible ureteroscope
holmium laser lithotripsy
stone basket