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输尿管软镜钬激光治疗肾结石的临床有效性

Clinical Efficacy of Flexible Ureteroscope Holmium Laser in the Treatment of Renal Calculi
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摘要 目的探讨输尿管软镜钬激光治疗肾结石的临床有效性。方法本次研究对象选取的是2018年4月至2019年4月收治的100例肾结石患者,通过随机分组法将100例肾结石患者分为研究组和对照组,每组50例。研究组患者采用输尿管软镜下钬激光碎石术进行治疗,对照组患者采用开放性取石术进行治疗。比较两组患者手术时间、术中出血量、住院时间,并统计分析两组患者结石清除率、术后疼痛发生率、术后发热率。结果研究组患者手术时间、术中出血量、住院时间、术后首次下床时间均明显要好于对照组(P<0.05)。研究组患者的结石清除率为94.00%,对照组患者的结石清除率为74.00%;研究组术后疼痛发生率为16.00%,对照组术后疼痛发生率为76.00%;研究组术后发热率为12.00%,对照组术后发热率为26.00%。研究组患者的结石清除率、术后疼痛发生率、发热率明显要比对照组肾结石患者低(P<0.05)。结论肾结石患者经输尿管软镜下钬激光碎石术治疗后,能促进手术时间的有效缩短和术中出血量的有效减少,进而促进患者术后恢复时间的缩短,具有良好的临床治疗效果。 Objective To investigate the clinical effi cacy of fl exible ureteroscope holmium laser in the treatment of renal calculi.Methods One hundred patients with renal calculi admitted from April 2018 to April 2019 were randomly divided into study group and control group with 50 cases in each group.The patients in study group were treated with holmium laser lithotripsy under ureteral hose,while the patients in control group were treated with open lithotripsy.The operation time,intraoperative blood loss,hospitalization time,stone removal rate,postoperative pain incidence,and postoperative fever rate were compared between the two groups.Results In terms of operation time,intraoperative bleeding volume,hospital stay and time to get out of bed for the fi rst time after surgery,the data of the study group were signifi cantly better than the control group,the diff erences between the two groups were signifi cant(P<0.05).The stone clearance rate was 94.00%in the study group,74.00%in the control group,the pain rate was 16.00%in the study group,76.00%in the control group,and the fever rate was 12.00%in the study group and 26.00%in the control group.The stone clearance rate,the pain rate and the fever rate in the study group were signifi cantly better than the control group(P<0.05).Conclusion Holmium laser lithotripsy under fl exible ureteroscope in patients with kidney stones can eff ectively reduce the operation time and intraoperative blood loss,shorten the postoperative recovery time of the patient,and has a good clinical treatment eff ect.
作者 刘永斌 LIU Yongbin(The First People's Hospital of Heishan County,Jinzhou 121400,China)
出处 《中国医药指南》 2020年第30期51-52,共2页 Guide of China Medicine
关键词 肾结石 输尿管软镜 钬激光碎石术 临床治疗效果 有效性 Renal calculi Flexible ureteroscope Holmium laser lithotripsy Clinical effi cacy Eff ectiveness
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