钬激光碎石术在泌尿结石患者中的干预价值研究

The Intervention Value of Holmium Laser Lithotripsy in Urolithiasis Patients

目的研究钬激光碎石术在泌尿结石患者中的应用价值。方法选择我院2019年6月至2020年6月收治的泌尿结石患者86例作为研究对象,根据治疗方式的不同将其分为两组,其中参照组患者使用传统气压弹道碎石术进行治疗;研究组患者应用钬激光碎石术进行治疗,对两组患者的手术指标、肾功能变化、并发症发生情况进行分析对比。结果经过治疗后,研究组患者的手术时间、住院时间均短于参照组,术中出血量少于参照组,P<0.05;术后研究组的尿素氮(BUN)、尿肌酐(Cr)水平较参照组明显降低,P<0.05;研究组的尿路感染、输尿管穿孔、继发性血尿等发生率明显低于参照组,P<0.05。结论应用钬激光碎石术对泌尿结石患者进行治疗,可明显提升临床效果,减少术后并发症的发生率,改善肾功能,缩短手术时间,降低出血量,利于患者的康复,值得临床研究和借鉴。

Objective To study the application value of holmium laser lithotripsy in patients with urinary calculi.Methods Eighty-six patients with urinary calculi in our hospital from June 2019 to June 2020 were selected as the research objects,and they were divided into two groups according to different treatment methods;the patients in the study group were treated with holmium laser lithotripsy,and the operation indexes,renal function changes,complications and clinical effects of the two groups were analyzed and compared.Results After treatment,the operation time and hospitalization time of the study group were shorter than those of the control group,intraoperative blood loss was less than those of the control group,P<0.05;after operation,BUN and Cr in the study group were significantly lower than those in the control group(P<0.05);the incidence of urinary tract infection,ureteral perforation and secondary hematuria in the study group was significantly lower than that in the control group(P<0.05).Conclusion The application of holmium laser lithotripsy in the treatment of patients with urinary calculi can significantly improve the clinical effect,reduce the incidence of postoperative complications,improve renal function,shorten the operation time,reduce the amount of bleeding,and is conducive to the rehabilitation of patients,which is worthy of clinical research and reference.