摘要
目的 研讨钬激光碎石术(Holmium Laser Lithotripsy,HLL)治疗泌尿系结石的临床效果及对疼痛程度的影响。方法 方便选取2020年8月—2022年6月邵武市立医院收治的84例泌尿系结石患者作为研究对象,采用随机数表法分为对照组和观察组,各42例。对照组接受气压弹道碎石术(Pneumatic Lithotripsy,PL),观察组接受钬激光碎石术(Holmium Laser Lithotripsy,HLL),比较两组一次性碎石率、手术基本情况、术后疼痛程度、手术前后机体炎症程度以及术后并发症发生率。结果 观察组一次性碎石率为95.24%,高于对照组的80.95%,差异有统计学意义(P<0.05)。观察组手术基本指标值及术后疼痛程度评分均小于对照组,差异有统计学意义(P均<0.05)。观察组术后1 d的机体炎症程度均小于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为7.14%,低于对照组的23.81%,差异有统计学意义(P<0.05)。结论 HLL术用于泌尿系结石的治疗效果较好,一次性碎石率较高,可有效减轻术后疼痛程度及机体炎症程度,减少并发症发生。
Objective To study the clinical effect of holmium laser lithotripsy(HLL)in the treatment of urinary calculi and its influence on the degree of pain.Methods A total of eighty-four patients with urinary calculi admitted to Shaowu Municipal Hospital for surgical treatment from August 2020 to June 2022 were conveniently selected as the research object,and the two groups were divided into control group and observation group,20 cases each.The control group received pneumatic ballistic lithotripsy(PL),and the observation group received(holmium laser lithotripsy)HLL.The rate of one-time lithotomy,surgical conditions,postoperative pain degree,inflammation degree before and after surgery and postoperative complications were compared between the two groups.Results The one-time gravel rate in the observation group was 95.24%,higher than 80.95%in the control group,the difference was statistically significant(P<0.05).The basic indexes and postoperative VAS scores of the observation group were less and shorter than those of the control group,and the differences were statistically significant(both P<0.05).The CRP and PCT values in the observation group were significantly lower than those in the control group one day after operation,and the difference was statistically significant(P<0.05).The total incidence of complications in the observation group was 7.14%,lower than 23.81%in the control group,and the difference was statistically significant(P<0.05).Conclusion HLL is effective in the treatment of urinary calculi,the one-time lithotripsy rate is high,and it can effectively reduce the degree of postoperative pain and inflammation,and reduce the occurrence of complications.
作者
宋启侠
罗艺彬
刘龙
SONG Qixia;LUO Yibin;LIU Long(Department of Urology,Shaowu Municipal Hospital,Shaowu,Fujian Province,354000 China;Department of Stone Crushing Room,Shaowu Municipal Hospital,Shaowu,Fujian Province,354000 China)
出处
《中外医疗》
2024年第5期47-50,共4页
China & Foreign Medical Treatment
关键词
泌尿系结石
钬激光碎石术
临床效果
疼痛程度
机体炎症程度
Urinary calculi
Holmium laser lithotripsy
Clinical effect
Degree of pain
Degree of body inflammation
