论文部分内容阅读
目的:讨论研究输尿管硬镜钬激光碎石的方法与临床效果。方法:随机选取自2013年11月至2014年5月间收治的70名患者作为研究时象,随机将其中35例分配为实验组,剩余35例为对照组。其中男性患者的数目为43人,女性患者的数目为27人。且年龄大致分布于31岁到55岁之间。平均年龄为42岁。这60名患者均为无手术禁忌症的患有输尿管结石的患者。治疗组中的患者对其进行输尿管硬镜钬激光碎石疗法,对于对照组中的患者对其进行一般疗法,如采取输尿管硬镜联合气压弹道碎石疗法进行治疗。结果:实验组中患者经手术治疗后其恢复状况以及住院时间相比较对照组来说明显要少;且实验组中的患者其输尿管中位于上段的结石排空率要明显高于对照组,位于输尿管中段和下段的结石排空率两组相近无明显差别。实验组中患者术后未见有并发症发生,而对照组中的患者经术后检查有并发症发生,其中有1名患者并发黏膜套状撕脱脓毒血症,3名患者并发输尿管假道,1名患者并发输尿管穿孔。结论:输尿管硬镜钬激光治疗结石患者具有手术效率高,时长短、患者术后康复复快、结石排空率高、并发症现象少见等特点,在临床治疗应用上具有显著疗效。
Objective: To discuss the method and clinical effect of ureteroscopic holmium laser lithotripsy. Methods: Seventy patients were randomly selected from November 2013 to May 2014 as the study period. 35 of them were randomly allocated as experimental group and the remaining 35 as control group. The number of male patients was 43 and the number of female patients was 27. And the age is generally distributed between 31 years old to 55 years old. The average age is 42 years old. All 60 patients had ureteral calculi without surgical contraindications. Patients in the treatment group underwent ureteroscopic holmium laser lithotripsy for general treatment of patients in the control group, such as ureteroscopic and pneumatic lithotripsy. Results: In the experimental group, the recovering status and hospitalization time of the patients after operation were obviously less than those in the control group. In the experimental group, the rate of stone emptying in the upper ureter was significantly higher than that in the control group, Ureteral stones in the middle and lower part of the emptying rate was no significant difference between the two groups. In the experimental group, there was no postoperative complication, while patients in the control group had complications after operation. One patient had mucosal avulsion and septic appenosis, and three patients had ureteral false Road, a patient with ureteral perforation. Conclusions: The ureteroscopic holmium laser treatment of calculi has the advantages of high operation efficiency, short duration, quick postoperative recovery, high rate of emptying of stones, and rare complications. It has significant curative effect in clinical treatment.