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经尿道输尿管镜下钬激光碎石术治疗输尿管结石的临床疗效观察

王健宇 胡宗阳 陶朝发 尤开芳 陈浩 郭焱

局解手术学杂志2018,Vol.27Issue(1):44-46,3.
局解手术学杂志2018,Vol.27Issue(1):44-46,3.DOI:10.11659/jjssx.11E017030

经尿道输尿管镜下钬激光碎石术治疗输尿管结石的临床疗效观察

Effect of transurethral ureteroscopic holmiumlaser lithotripsy on ureteral calculi

王健宇 1胡宗阳 1陶朝发 1尤开芳 1陈浩 1郭焱1

作者信息

  • 1. 攀枝花学院附属医院泌尿科,四川攀枝花617000
  • 折叠

摘要

Abstract

Objective To explore the clinical effect of the transurethral ureteroscopic holmiumlaser lithotripsy in the treatment of ureteral calculi.Methods This study conducted a retrospective analysis of 205 patients with ureteral calculi from September 2015 to June 2017 in the affiliated hospital of Panzhihua university.According to the surgical method,all the patients were divided into control group (102 cases) who were treated with conventional pneumatic lithotripsy and observation group(103cases) who received transurethral ureteroscopic holmiumlaser lithotripsy.The surgical efficacy,renal function indexes and surgical indexes of the two groups were compared and analyzed respectively.Results The total effective rate of observation group was 97.06%,the control group was 85.00%,the difference between two groups was significantly(P < 0.05).There was no significant difference in Cr and BUN level before surgery between two groups (P > 0.05);after treatment,the Cr and BUN levels of two groups were improved significantly (P < 0.05);while the renal function improved index of observation group was significantly better than that of control group,the difference was significant(P < 0.05).The intraoperative blood loss,operative time and postoperative hospital stay of the observation group were significantly lower than those of control group (P < 0.05).Conclusion The transurethral ureteroscopic holmiumlaser lithotripsy and normal air pressure ballistic were both well treatment for ureteral calculi,but patients with the holmium laser lithotripsy have better renal function indexes and operation index.

关键词

输尿管结石/输尿管镜/钬激光碎石术/气压弹道碎石术

Key words

ureteral calculi/urethral microscopy/holmium laser lithotripsy/pneumatic lithotripsy

分类

医药卫生

引用本文复制引用

王健宇,胡宗阳,陶朝发,尤开芳,陈浩,郭焱..经尿道输尿管镜下钬激光碎石术治疗输尿管结石的临床疗效观察[J].局解手术学杂志,2018,27(1):44-46,3.

局解手术学杂志

OACSTPCD

1672-5042

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