输尿管镜下钬激光碎石术治疗输尿管结石的临床效果探讨

Effect of Holmium Laser Lithotripsy under Ureteroscope for Ureteral Calculi

目的探讨输尿管镜下钬激光碎石术治疗输尿管结石的临床效果。方法选取江苏宿迁沭阳南关医院2017年9月至2019年10月收治的66例输尿管结石患者为研究对象,按照抛硬币法随机分为对照组与观察组,各33例。对照组接受气压弹道碎石术治疗,观察组接受输尿管镜下钬激光碎石术治疗。对比两组治疗效果。结果观察组患者治疗后的总有效率明显高于对照组,差异有统计学意义(P<0.05);观察组患者的手术时间、住院时间、肠胃功能恢复时间、下床活动时间、术后输液时间明显短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);观察组患者的各项生活质量因子的水平明显高于对照组,比较差异有统计学意义(P<0.05)。结论治疗输尿管结石采取输尿管镜下钬激光碎石术治疗的临床效果显著,术后恢复快,手术安全性高。

Objective To evaluate the clinical effect of ureteroscopic holmium laser lithotripsy for ureteral calculi.Methods A total of 66 patients with ureteral stones treated in Shuqian Shuyang Nanguan Hospital from September 2017 to October 2019 were selected as the study subjects,and randomLy divided into control group and observation group,with 33 cases each group.The control group received pneumatic ballistic lithotripsy,while the observation group received holmium laser lithotripsy under ureteroscopy.Treatment effect was compared between groups.Results The total effective rate of patients in the observation group after treatment was significantly higher than that in the control group.The difference was statistically significant(P<0.05);the operation time,hospitalization time,recovery time of gastrointestinal function,time to get out of bed and infusion time of patients in the observation group were significantly shorter than those in the control group,and the amount of intraoperative bleeding was less than that in the control group,the difference was statistically significant(P<0.05);the levels of various quality of life factors in the observation group were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion Ureteroscopic holmium laser lithotripsy for the treatment of ureteral calculi has a remarkable clinical effect,rapid postoperative recovery and high surgical safety.