摘要
目的探讨输尿管镜下两种碎石术治疗输尿管结石疗效及对血清ESR、CRP影响。方法以某院2019年2月至10月收治的118例输尿管结石患者为研究对象,随机分为两组,各59例。气压组实施输尿管镜下气压弹道碎石术,激光组实施输尿管镜下钬激光碎石术,比较两组手术指标、血清ESR及CRP含量、碎石有效率及不良反应发生情况。结果手术时间、住院时间、住院费用、LAS评分、VAS评分、血清ESR及CRP水平激光组均显著低于气压组;激光组碎石总有效率93.22%显著高于气压组76.27%;激光组不良反应总发生率8.47%显著低于气压组23.73%;差异均有统计学意义(P<0.05)。结论相比输尿管镜下气压弹道碎石术,输尿管镜下钬激光碎石术治疗输尿管结石疗效确切,既提高了一次碎石成功率,又缩短了手术及住院时间,加快患者的康复进展,减轻费用负担,并降低不良反应发生率,值得临床推广。
Objective To investigate the effect of ureteroscopic lithotripsy on ureterolithiasis and its effect on serum ESR and CRP.Methods One hundred and eighteen patients with ureterolithiasis treated in our hospital from February 2019 to October 2019 were randomly divided into two groups,59 cases each.The pneumatic group underwent ureteroscopic pneumatic ballistic lithotripsy,and the laser group underwent ureteroscopic holmium laser lithotripsy.The operative indexes,serum ESR and CRP contents,lithotripsy efficiency and adverse reactions of the two groups were compared.Results The operation time,hospitalization time,hospitalization expenses,LAS score,VAS score,serum ESR and CRP level in the laser group were significantly lower than those in the barometric group,the total effective rate of lithotripsy in the laser group was 93.22%significantly higher than that in the barometric group,76.27%,the total inci⁃dence of adverse reactions in the laser group was 8.47%significantly lower than that in the barometric group,23.73%;the difference was statistically significant(P<0.05).Conclusion Compared with ureteroscopic pneumatic lithotripsy,ureteroscopic holmium laser lith⁃otripsy has a definite curative effect in the treatment of ureterolithiasis,which not only improves the success rate of primary lithotripsy,but also shortens the operation and hospitalization time,accelerates the rehabilitation progress of patients,reduces the cost burden,and reduces the incidence of adverse reactions.It is worthy of clinical promotion.
作者
穆修瑞
Mu Xiurui(Lingcheng District People's Hospital of Dezhou City,Dezhou 253500,Shandong,China.)
出处
《医院与医学》
2020年第2期54-57,共4页
Hospital and Medicine
