输尿管软镜下钬激光碎石术治疗肾结石的有效性评价(1)
[摘要]目的 探讨对肾结石患者行输尿管软镜下钬激光碎石术治疗的临床效果。方法 选取2016年3月～2017年3月我院收治的118例肾结石患者作为研究对象，根据治疗方法的不同将其分为碎石术组和传统组，每组59例。传统组行开放性取石术治疗，碎石术组行输尿管软镜下钬激光碎石术治疗，观察并比较两组治疗效果、各项手术指标的变化情况、术后发热率、疼痛率以及结石的清除率。结果 碎石术组患者的治疗有效率显著高于传统组，差异有统计学意义(P<0.05)；碎石术组患者的手术时间、下床活动时间以及住院时间均短于传统组，术中出血量少于传统组，差异有统计学意义(P<0.05)；碎石术组患者的结石清除率、术后疼痛率以及术后发热率均低于传统组，差异有统计学意义(P<0.05)。结论 对肾结石患者行输尿管软镜下钬激光碎石术治疗，不仅能够减少术后疼痛、发热的发生，同时，还能够缩短患者的术后康复时间，在一定程度上利于患者的病情恢复，治疗效果十分显著。
[关键词]输尿管软镜；钬激光碎石术治疗；肾结石患者；治療效果
[中图分类号] R699.2 [文献标识码] A [文章编号] 1674-4721(2018)4(b)-0044-03
Effectiveness evaluation of holmium laser lithotripsy under flexible ureteroscope in the treatment of renal calculi
YAN Xi-xin HONG Zhi-jian YAO Jin-shu
Department of Urology，Jinjiang Traditional Chinese Medicine Hospital Affiliated to Fujian University of Traditional Chinese Medicine，Fujian Province，Jinjiang 362200，China
[Abstract]Objective To investigate the clinical effect of holmium laser lithotripsy under flexible ureteroscope(F-URS)for renal calculi.Methods From March 2016 to March 2017，118 patients with renal calculus were selected as the research objects，and divided into lithotripsy group and traditional group according to the different treatment methods，59 cases in each group.The traditional group was treated with open lithotomy and the lithotripsy group was treated with holmium laser lithotripsy under ureteroscopy.The therapeutic effect，the changes of operative indexes，postoperative fever rate，pain rate and stone removal rate were observed and compared between the two groups.Results The effective rate of lithotripsy group was significantly higher than that of traditional group，and the difference was statistically significant (P<0.05).The operation time，ambulation time and hospitalization time of patients in lithotripsy group were shorter than those in traditional group，and the intraoperative blood loss was less than that in traditional group，and the differences were statistically significant (P<0.05)；the stone clearance rate，postoperative pain rate and postoperative fever rate in lithotripsy group were lower than those in traditional group，and the differences were statistically significant(P<0.05).Conclusion In the treatment of patients with renal calculi，holmium laser lithotripsy under F-URS can not only reduce the incidence of postoperative pain and fever，but also shorten the postoperative rehabilitation time.To some extent，it is conducive to the recovery of patients，and the therapeutic effect is remarkable., 百拇医药(颜锡欣 洪志坚 姚锦树)
[关键词]输尿管软镜；钬激光碎石术治疗；肾结石患者；治療效果
[中图分类号] R699.2 [文献标识码] A [文章编号] 1674-4721(2018)4(b)-0044-03
Effectiveness evaluation of holmium laser lithotripsy under flexible ureteroscope in the treatment of renal calculi
YAN Xi-xin HONG Zhi-jian YAO Jin-shu
Department of Urology，Jinjiang Traditional Chinese Medicine Hospital Affiliated to Fujian University of Traditional Chinese Medicine，Fujian Province，Jinjiang 362200，China
[Abstract]Objective To investigate the clinical effect of holmium laser lithotripsy under flexible ureteroscope(F-URS)for renal calculi.Methods From March 2016 to March 2017，118 patients with renal calculus were selected as the research objects，and divided into lithotripsy group and traditional group according to the different treatment methods，59 cases in each group.The traditional group was treated with open lithotomy and the lithotripsy group was treated with holmium laser lithotripsy under ureteroscopy.The therapeutic effect，the changes of operative indexes，postoperative fever rate，pain rate and stone removal rate were observed and compared between the two groups.Results The effective rate of lithotripsy group was significantly higher than that of traditional group，and the difference was statistically significant (P<0.05).The operation time，ambulation time and hospitalization time of patients in lithotripsy group were shorter than those in traditional group，and the intraoperative blood loss was less than that in traditional group，and the differences were statistically significant (P<0.05)；the stone clearance rate，postoperative pain rate and postoperative fever rate in lithotripsy group were lower than those in traditional group，and the differences were statistically significant(P<0.05).Conclusion In the treatment of patients with renal calculi，holmium laser lithotripsy under F-URS can not only reduce the incidence of postoperative pain and fever，but also shorten the postoperative rehabilitation time.To some extent，it is conducive to the recovery of patients，and the therapeutic effect is remarkable., 百拇医药(颜锡欣 洪志坚 姚锦树)