摘要
目的研究气压弹道碎石术与钬激光碎石术两种手术技术用于输尿管结石治疗上的优势与临床价值。方法88例在本院接受治疗的输尿管结石患者是此次研究的主要对象,对88例患者进行分组,采取的分组方法是“随机数字表法”,两组分别命名为对照组、观察组,每组中各包括有44例患者。两组采取的治疗方法分别是气压弹道碎石术和钬激光碎石术,将两种手术方法的治疗效果相关指标进行统计,并将各项指标的测定结果进行组间统计学分析。结果观察组的一次性碎石成功率为95.45%,对照组的一次性碎石成功率为81.82%,经统计学分析,差异有统计学意义(χ2=4.062,P=0.044<0.05)。观察组术后并发症发生率2.27%低于对照组的13.64%(P<0.05)。观察组手术时间(38.14±3.74)min、术后结石排净时间(4.95±1.22)d均短于对照组的(50.96±3.56)min、(7.41±1.37)d,术中出血量(102.74±5.22)ml少于对照组的(135.94±5.96)ml(P<0.05)。观察组患者术后6、8、12、24 h的疼痛评分分别为(3.56±0.47)、(2.12±0.15)、(1.28±0.12)、(0.74±0.12)分,均低于对照组的(4.96±0.50)、(3.26±0.17)、(2.33±0.16)、(1.53±0.21)分(P<0.05)。结论相比于气压弹道碎石术,临床上采取钬激光碎石术治疗输尿管结石的有效性和安全性更理想,更有利于减轻患者术后疼痛程度,促进患者术后康复,有较高的临床推广价值。
Objective To study the advantages and clinical value of pneumatic ballistic lithotripsy and holmium laser lithotripsy in the treatment of ureteral calculi.Methods 88 patients with ureteral calculi treated in our hospital were the main objects of this study.The 88 patients were divided into two groups by"random number table method".The two groups were named control group and observation group respectively,with 44 patients in each group.The two groups were treated with pneumatic ballistic lithotripsy and holmium laser lithotripsy respectively.The therapeutic effects of the two surgical methods were statistically measured,and the results of each index were statistically analyzed between the groups.Results The success rate of one-time lithotripsis was 95.45%in the observation group and 81.82%in the control group,and the difference was statistically significant(χ2=4.062,P=0.044<0.05).The incidence of postoperative complications in the observation group was 2.27%,which was lower than 13.64%in the control group(P<0.05).The observation group had operation time of(38.14±3.74)min and postoperative stone clearance time of(4.95±1.22)d,which were shorter than(50.96±3.56)min and(7.41±1.37)d of the control group;the observation group had less intraoperative blood loss of(102.74±5.22)ml than(135.94±5.96)ml of the control group(P<0.05).The pain scores of the observation group at 6,8,12 and 24 h postoperatively were(3.56±0.47),(2.12±0.15),(1.28±0.12)and(0.74±0.12)points,which were lower than(4.96±0.50),(3.26±0.17),(2.33±0.16)and(1.53±0.21)points of the control group(P<0.05).Conclusion Compared with pneumatic lithotripsy,holmium laser lithotripsy is more effective and safe in the treatment of ureteral calculi.It is more conducive to reduce the postoperative pain of patients,and promote the postoperative rehabilitation of patients.It has high clinical application value.
作者
苏晓瑜
王姣莲
郭招治
SU Xiao-yu;WANG Jiao-lian;GUO Zhao-zhi(Department of Urology,73rd Group Army Hospital of PLA,Xiamen 361000,China)
出处
《中国现代药物应用》
2024年第4期42-44,共3页
Chinese Journal of Modern Drug Application
关键词
气压弹道碎石术
钬激光碎石术
输尿管结石
临床疗效
Pneumatic lithotripsy
Holmium laser lithotripsy
Ureteral calculi
Clinical efficacy
