摘要
目的:探究输尿管中上段结石并肾重度积水应用输尿管镜联合肾微造瘘顺行灌注下钬激光碎石术治疗的临床效果。方法:选取2013年4月-2015年1月笔者所在医院接收的输尿管中上段结石并肾重度积水患者80例,按治疗方法不同,分为对照组与试验组,各40例。对照组应用输尿管镜下碎石,试验组应用输尿管镜联合肾微造瘘顺行灌注下钬激光碎石,观察比较两组患者的结石清除率及并发症发生情况。结果:试验组结石清除率为95.0%,明显高于对照组的82.5%,差异有统计学意义(P<0.05);试验组并发症发生率为2.5%,明显低于对照组的17.5%,差异有统计学意义(P<0.05)。结论:应用输尿管镜联合肾微造瘘顺行灌注下钬激光碎石术治疗患侧肾重度积水的输尿管中上段结石,疗效显著,相较于单用输尿管镜下钬激光碎石,可提高结石清除率,减少并发症发生。
Objective：To explore the clinical efficacy of ureteroscope combined with holmium laser lithotripsy under renal micro-fistulization anterograde perfusion in the treatment of middle and upper ureteral calculi.Method：80 patients with stones in middle and upper segments of ureters plus severe renal dropsy from April 2013 to January 2015 in our hospital were selected,according to the different treatment methods, the patients were divided into the control group and the experimental group,40 cases in each group.The control group was used the lithotripsy under ureteroscopy,and the experimental group was used holmium laser lithotripsy under renal micro-fistulization anterograde perfusion for the treatment of middle and upper ureteral calculi,the stone clearance rate and complication occurrence of the two groups were observed and compared.Result：The stone clearance rate of the experimental group was 95.0%,which was significantly higher than 82.5% of the control group,the difference was statistically significant（P0.05）.The complication rate of the experimental group was 2.5%,which was significantly lower than 17.5% in the control group,the difference was statistically significant（P0.05）.Conclusion：The ureteroscope combined with holmium laser lithotripsy under renal micro-fistulization anterograde perfusion for the treatment of middle and upper ureteral calculi,significant effect,compared with the single use of holmium laser lithotripsy, stone clearance rate can be improved, and the incidence of complications can be reduced.
出处
《中外医学研究》
2016年第6期4-5,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
输尿管结石
肾微造瘘
顺行灌注
钬激光碎石术
临床疗效
Ureteral stones
Renal micro-fistulization
Anterograde perfusion
Holmium laser lithotripsy
Clinical efficacy
