分期输尿管软镜钬激光碎石术治疗2-4cm肾结石患者的有效性及安全性分析

Analysis of the Efficacy and Safety of Staged Ureteroscope Holmium Laser Lithotripsy in the Treatment of 2-4 cm Kidney Stones

目的探究分期输尿管软镜钬激光碎石术治疗2-4 cm肾结石患者的有效性及安全性。方法选取2017年2月至2018年5月在本院收治并接受治疗的肾结石患者102例,依照不同的手术方式,将其分为研究组、参考组,每组各有52例患者。参考组进行经皮肾穿刺取石术手术,研究组实行分期输尿管软镜钬激光碎石术做出治疗。比较两组患者治疗有效率、并发症发发生率的变化情况。结果研究组患者的治疗有效率为98.0%,参考组为84.6%,研究组与参考组比较,比参考组高(P<0.05)。研究组患者的并发症发生率是1.5%,参考组是15.3%,研究组比参考组低许多(P<0.05)。结论治疗2-4 cm肾结石患者采用分期输尿管软镜钬激光碎石术治疗效率比较显著,并发症发生率显著降低,安全性比较高,建议临床上进一步研究、分析。

Objective To investigate the efficacy and safety of staged ureteroscopy and holmium laser lithotripsy in the treatment of 2-4 cm kidney stones. Methods A total of 102 patients with kidney stones admitted to our hospital from February 2017 to May 2018 were enrolled. According to different surgical methods, they were divided into study group and reference group, with 52 patients in each group. Percutaneous nephrolithotomy was performed in the reference group. The study group was treated with staged ureteroscopy and holmium laser lithotripsy. The treatment efficiency and the incidence of complications were compared between the two groups. Results The effective rate of the study group was 98.0%, and the reference group was 84.6%. The study group was higher than the reference group(P<0.05). The complication rate was 1.5% in the study group and 15.3% in the reference group, which was much lower in the study group than in the reference group(P<0.05). Conclusions The treatment of 2-4 cm renal calculi with staged ureteroscopy and holmium laser lithotripsy is more effective, the complication rate is significantly lower, and the safety is higher. It is recommended to further study and analyze in clinical.