| 摘要: |
| ［摘要］ 目的 观察输尿管结石行输尿管镜下钬激光碎石术治疗的效果。方法 将2016-02～2017-12 60例输尿管结石患者根据手术方法不同分为对照组和观察组。对照组(n=30)进行输尿管镜气压弹道碎石术治疗，观察组(n=30)行输尿管镜下钬激光碎石术治疗。比较两组输尿管结石取净率；术后下地活动时间、恢复排气时间、持续应用镇痛药物时间、住院天数；手术前后患者疼痛视觉模拟评分、WHOQOL-100生活质量评分；输尿管损伤情况。结果 观察组输尿管总有效率高于对照组（P<0.05）；观察组术后下地活动时间、恢复排气时间、持续应用镇痛药物时间、住院天数均短于对照组（P<0.05）；手术前两组疼痛视觉模拟评分、WHOQOL-100生活质量评分差异无统计学意义（P>0.05），手术后观察组疼痛视觉模拟评分、WHOQOL-100生活质量评分优于对照组（P<0.05）。观察组输尿管损伤发生率低于对照组，但差异无统计学意义（P>0.05）。结论 输尿管结石患者行输尿管镜下钬激光碎石术疗效肯定，可减轻输尿管损伤，加速患者术后康复，减轻患者痛苦，提升患者生活质量。 |
| 关键词: 输尿管结石 输尿管镜下钬激光碎石术 治疗效果 |
| DOI：10.3969/j.issn.1674-3806.2019.05.23 |
| 分类号:R 693.4 |
| 基金项目: |
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| Effect of ureteroscopic holmium laser lithotripsy on ureteral calculi |
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LIU Xiong-zhao
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The First Department of Surgery, Yangchun Municipal Hospital of Traditional Chinese Medicine, Guangdong 529600, China
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| Abstract: |
| ［Abstract］ Objective To investigate the effect of ureteroscopic holmium laser lithotripsy on ureteral calculi. Methods The data of 60 patients with ureteral calculi from February 2016 to December 2017 were respectively analyzed. The patients were divided into observation group and control group according to different operation methods. The control group(n=30) underwent ureteroscopic pneumatic lithotripsy, and the observation group(n=30) underwent ureteroscopic holmium laser lithotripsy. The urinary calculi removal rate, postoperative ambulation time, postoperative intestinal exhaust time, duration of use of analgesics, length of hospitalization, Visual Analogue Scale(VAS) scores before and after surgery, WHOQOL-100 Quality of Life scores and ureteral injury were compared between the two groups. Results The total effective rate of the observation group was significantly higher than that of the control group(P<0.05). The postoperative ambulation time, postoperative intestinal exhaust time, duration of use of analgesics and length of hospitalization in the observation group were significantly shorter than those in the control group(P<0.05). There were no significant differences in VAS scores and WHOQOL-100 Quality of Life scores between the two groups before surgery(P>0.05). After surgery, the VAS scores and WHOQOL-100 Quality of Life scores in the observation group were better than those in the control group(P<0.05). The ureteral injury in the control group was significantly worse than that in the control group, but there was no significant difference(P>0.05). Conclusion Ureteroscopic holmium laser lithotripsy is effective for the patients with ureteral calculi. It can significantly reduce the ureteral injury, accelerate the postoperative recovery, reduce the patients′ suffering and improve their quality of life. |
| Key words: Ureteral calculi Ureteroscopic holmium laser lithotripsy Treatment effect |
