输尿管镜下钬激光碎石术与输尿管切开取石术治疗输尿管结石的回顾性分析.docVIP

精品论文 参考文献 输尿管镜下钬激光碎石术与输尿管切开取石术治疗输尿管结石的回顾性分析 湖北省宜昌市第五人民医院泌尿外科 湖北宜昌 443003 摘要：目的：探讨临床对输尿管结石患者实施输尿管镜下钬激光碎石术及输尿管切开取石术的可行性。方法：将我院2014年11月-2015年12月收录并治疗的70例输尿管结石患者纳入研究，随机等分成2组，将实施传统输尿管切开取石术治疗者并入对照组，将实施输尿管镜下钬激光碎石术治疗者并入观察组，研究2组的手术结果。结果：相比对照组，观察组的手术时间与住院时间更短，手术出血量更少，排石率更高，有统计学意义（P均＜O.05）。在手术并发症方面，观察组的发生率是2.86％，要显著性低于对照组的22.86％，有统计学意义（P＜0.05）。结论：与输尿管切开取石术相比，对输尿管结石患者采取输尿管镜下钬激光碎石术治疗，疗效更显著，安全性更佳，很适合在临床上普及。 关键词：输尿管镜下钬激光碎石术；输尿管切开取石术；输尿管结石 And holmium laser lithotripsy under ureteroscope lithotomy incision were retrospectively analyzed for the treatment of ureteral calculi Zhang Hongbo （Department of Urology，Hubei Yichang Fifth Peoples Hospital of Hubei province Yichang 443003） [Abstract] Objective：To investigate the clinical implementation of ureteral holmium laser lithotripsy and ureteroscopy for ureteral calculi and feasibility of lithotomy.Methods：in our hospital in November 2014 -2015 year in December and included in the study included 70 cases of ureteral calculi patients，were randomly divided into 2 groups，the implementation of the traditional ureterolithotomy treatment into the control group，the implementation of ureteroscopic holmium laser lithotripsy treatment into the observation group，the surgical results of 2 groups.Results：compared with control group，shorter operation time of the observation group and hospitalization，surgery less bleeding，the stone expulsion rate higher，with statistical significance（P lt; O.05）.In terms of surgical complications，the incidence of the observation group was 2.86%，significantly lower than that in the control group 22.86%，with statistical significance（P lt; 0.05）.Conclusion：with ureterolithotomy compared to ureteroscopic holmium laser lithotripsy for the treatment of ureteral calculi patients，therapeutic effect，better safety，it is suitable for popularization in clinic. [keyword] ureteroscopic holmium laser lithotripsy；ureterolithotomy；ureteral calculi 输尿管结石是泌尿外科病症中相对常见的一种，通常是由于尿液排泄量减少，尿液中的草酸钙与磷酸钙过度聚积，从而出现结石[1]。在临床上本病主要有血尿、肾绞