摘要
目的观察钬激光碎石取石术治疗老年泌尿结石的临床效果。方法选取2018年8月至2019年8月我院收治的70例老年泌尿结石患者,根据手术治疗方式不同分为对照组(n=36)和观察组(n=34)。对照组采用气压弹道碎石术,观察组采用钬激光碎石取石术。比较两组的相关手术指标、临床疗效及术后6个月的结石复发率。结果观察组的手术时间、住院时间明显短于对照组(P<0.05),但两组的术后下床时间比较无统计学差异(P>0.05)。观察组的治疗总有效率为94.12%,明显高于对照组的75.00%(P<0.05)。观察组的术后6个月结石复发率为2.94%,明显低于对照组的19.44%(P<0.05)。结论钬激光碎石取石术治疗老年泌尿结石患者疗效确切,且术后6个月结石复发率低于气压弹道碎石术,值得临床推广应用。
Objective To observe the clinical effect of holmium laser lithotripsy in the treatment of elderly patients with urinary calculi.Methods 70 elderly patients with urinary calculi admitted to our hospital from August 2018 to August 2019 were selected and divided into control group(n=36)and observation group(n=34)according to different surgical treatment methods.The control group received pneumatic ballistic lithotripsy,and the observation group received holmium laser lithotripsy.The related surgical indicators,clinical efficacy and stone recurrence rate at 6 months after surgery were compared between the two groups.Results The operation time and hospitalization time of the observation group were significantly shorter than those of the control group(P<0.05).No statistical difference was found in the postoperative out-of-bed time between the two groups(P>0.05).The total effective rate of treatment in the observation group was 94.12%,significantly higher than 75.00%in the control group(P<0.05).The stone recurrence rate at 6 months after surgery of the observation group was 2.94%,significantly lower than 19.44%of the control group(P<0.05).Conclusions Holmium laser lithotripsy has exact efficacy in the treatment of elderly patients with urinary calculi,and lower stone recurrence rate at 6 months after surgery than pneumatic ballistic lithotripsy,which is worthy of clinical promotion and application.
作者
金伟伟
JIN Weiwei(Emergency Department,the First Affiliated Hospital of He'nan University of Science and Technology,Luoyang 471000,China)
出处
《临床医学工程》
2020年第9期1137-1138,共2页
Clinical Medicine & Engineering
关键词
钬激光碎石取石术
泌尿结石
临床疗效
复发率
Holmium laser lithotripsy
Urinary calculi
Clinical efficacy
Recurrence rate
