输尿管镜下钬激光治疗输尿管结石的效果

Effect of holmium laser under ureteroscope in the treatment of ureteral calculi

目的探讨输尿管镜下钬激光治疗输尿管结石的临床效果及安全性。方法选取2013年9月~2018年12月我院收治的443例输尿管结石患者作为研究对象,按照治疗方法的不同将其分为对照组(222例)和观察组(221例)。对照组患者采用体外冲击波碎石(ESWL)治疗,观察组患者采用输尿管镜下钬激光治疗。比较两组患者的单次碎石成功率、3周内结石排出率和严重并发症总发生率。结果观察组患者的单次碎石成功率为97.28%(215/221),高于对照组的75.23%(167/222),差异有统计学意义(P<0.05)。观察组患者的3周内结石排出率为100.00%(221/221),高于对照组的83.33%(185/222),差异有统计学意义(P<0.05)。观察组患者的严重并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论输尿管镜下钬激光治疗输尿管结石,具有单次碎石成功率高,3周内结石排出率高,严重并发症少、创伤小、术后恢复快等优点,是一种安全有效的腔内碎石方法,值得推广。

Objective To investigate the clinical effect and safety of holmium laser under ureteroscope in the treatment of ureteral calculi.Methods A total of 443 cases of patients with ureteral calculi admitted to our hospital from September 2013 to December 2018 were selected as the research subjects,and they were divided into the control group(222 cases)and the observation group(221 cases)according to different treatment methods.The control group was treated with extracorporeal shock wave lithotripsy(ESWL),while the observation group was treated with holmium laser under ureteroscope.The success rate of single lithotripsy,the rate of calculi excretion within 3 weeks and the incidence of serious complications were compared between the two groups.Results The success rate of single lithotripsy in the observation group was 97.28%(215/221),which was higher than that in the control group accounting for 75.23%(167/222),and the difference was statistically significant(P<0.05).The rate of calculi excretion within 3 weeks in the observation group was 100.00%(221/221),which was higher than that in the control group accounting for 83.33%(185/222),and the difference was statistically significant(P<0.05).The total incidence rate of serious complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Holmium laser under ureteroscope is a safe and effective method in the treatment of ureteral calculi.It has the advantages of high success rate of single lithotripsy,high rate of the calculi excretion within 3 weeks,fewer serious complications,less trauma and quick postoperative recovery,which is worthy of promotion.