王庆涛 白龙伟

    摘 要 目的：探讨输尿管软镜下钬激光碎石术治疗肾结石的临床效果。方法：将76例肾结石患者按照随机数字表法分成对照组(n=38)和观察组(n=38)，对照组采取经皮肾镜碎石取石术治疗，观察组采取输尿管软镜下钬激光碎石术治疗。对比两组肾结石清除率、手术指标、肾损伤程度和并发症发生情况。结果：治疗后，两组结石清除比例差异无统计学意义。观察组肾脏损伤分子-1和血清肌酐低于对照组；手术时间、术中出血量和住院时间等手术指标优于对照组；并发症发生率低于对照组(均P<0.05)。结论：输尿管软镜下钬激光碎石术治疗肾结石既可保持较高的结石清除率，同时还有较高的安全性。

    关键词 输尿管软镜下钬激光碎石术 肾功能损伤 肾结石

    中图分类号：R692.4 文献标志码：B 文章编号：1006-1533(2022)03-0052-02

    Clinical effect of ureteroscopic holmium laser lithotripsy for renal calculi

    WANG Qingtao， BAI Longwei

    (Department of Urology， the People’s Hospital of Gongyi， He’nan Province， Gongyi 451200， China)

    ABSTRACT Objective： To investigate the clinical effect of ureteroscopic holmium laser lithotripsy for renal calculi. Methods： Seventy-six patients with nephrolithiasis were randomly divided into a control group (n=38) and an observation group (n=38). The control group was treated with percutaneous nephrolithiasis lithotripsy while the observation group with ureteroscopic holmium laser lithotripsy. The renal stone clearance rate ......