对比分析钬激光碎石取石术与传统手术治疗泌尿系统结石的临床效果

Comparative Analysis of the Clinical Effect of Holmium Laser Lithotripsy and Traditional Surgery for the Treatment of Urinary Stones

目的 分析泌尿系统结石疾病特点,对比钬激光碎石取石术与传统手术治疗的临床效果,为泌尿外科工作开展提供参考。方法 方便选取2019年10月—2020年12月赤峰市医院泌尿外科收治的泌尿系统结石疾病患者130例为研究对象,依据随机数表法分为对照组和观察组,各65例。对照组采取传统手术治疗,观察组采取钬激光碎石取石术治疗,比较两组患者的手术效果。结果 观察组患者SAS与SDS评分均低于对照组,差异有统计学意义(t=9.758、8.062,P<0.05);观察组患者手术时间、住院时间均低于照组,出血量少于对照组,差异有统计学意义(P<0.05);观察组一次性碎石率、术后2个月结石清除率均明显高于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率(6.15%)明显低于对照组(27.69%),差异有统计学意义(χ^(2)=10.724,P<0.05)。结论 钬激光碎石取石术、传统手术均可治疗泌尿系统结石,钬激光碎石取石术整体手术效果、安全性优势突出,且减轻了患者的心理负担。

Objective To analyze the characteristics of urinary system stone diseases and compare the clinical effects of holmium laser lithotripsy and traditional surgical treatment,providing reference for the development of urological work.Methods From October 2019 to December 2020,130 patients with urinary system stone disease admitted to the Department of Urology of Chifeng City Hospital were conveniently selected as the research objects.According to the random number table,they were divided into the control group and the observation group,with 65 cases in each group.The control group received traditional surgical treatment,while the observation group received holmium laser lithotripsy for stone removal.The surgical effects of the two groups of patients were compared.Results The SAS and SDS scores of the observation group were lower than those of the control group,and the difference was statistically significant(t=9.758,8.062,P<0.05).The surgery time and hospitalization time of the observation group were lower than those of the control group,and the bleeding volume was lower than that of the control group,and the difference was statistically significant(P<0.05).The one-time lithotripsy rate and stone clearance rate at 2 months after surgery in the observation group were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group(6.15%)was significantly lower than that in the control group(27.69%),and the difference was statistically significant(χ^(2)=10.724,P<0.05).Conclusion Holmium laser lithotripsy and traditional surgery can both treat urinary system stones. Holmium laserlithotripsy has prominent advantages in overall surgical effect and safety, and reduces the psychological burden of patients.