中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
25期
24-25
,共2页
输尿管镜%钬激光碎石术%开放手术%输尿管结石
輸尿管鏡%鈥激光碎石術%開放手術%輸尿管結石
수뇨관경%화격광쇄석술%개방수술%수뇨관결석
Ureteroscopic%Holmium:YAG laser lithotripsy%Open operation%Ureteral calculi
目的：比较输尿管镜下钬激光碎石术与开放手术在输尿管结石治疗中的临床效果。方法：选择2011年9月-2012年12月笔者所在医院收治的输尿管结患者共100例，将其随机均分为碎石术手术组和开放手术组，碎石术手术组通过输尿管镜下进行钬激光碎石术来治疗输尿管结石，开放手术组则运用传统手术方法进行取石，观察两组临床效果。结果：两组患者手术治疗后，碎石术手术组成功率优于开放手术组18%(P<0.05)。同时碎石术手术组手术时间、手术出血量、引流管拔除时间、住院时间均明显优于开放手术组(P<0.05)。碎石术手术组患者无一例发生并发症，而开放手术组11例患者发生并发症。结论：输尿管镜下钬激光碎石术治疗输尿管结石临床效果较好，值得临床广泛应用。
目的：比較輸尿管鏡下鈥激光碎石術與開放手術在輸尿管結石治療中的臨床效果。方法：選擇2011年9月-2012年12月筆者所在醫院收治的輸尿管結患者共100例，將其隨機均分為碎石術手術組和開放手術組，碎石術手術組通過輸尿管鏡下進行鈥激光碎石術來治療輸尿管結石，開放手術組則運用傳統手術方法進行取石，觀察兩組臨床效果。結果：兩組患者手術治療後，碎石術手術組成功率優于開放手術組18%(P<0.05)。同時碎石術手術組手術時間、手術齣血量、引流管拔除時間、住院時間均明顯優于開放手術組(P<0.05)。碎石術手術組患者無一例髮生併髮癥，而開放手術組11例患者髮生併髮癥。結論：輸尿管鏡下鈥激光碎石術治療輸尿管結石臨床效果較好，值得臨床廣汎應用。
목적：비교수뇨관경하화격광쇄석술여개방수술재수뇨관결석치료중적림상효과。방법：선택2011년9월-2012년12월필자소재의원수치적수뇨관결환자공100례，장기수궤균분위쇄석술수술조화개방수술조，쇄석술수술조통과수뇨관경하진행화격광쇄석술래치료수뇨관결석，개방수술조칙운용전통수술방법진행취석，관찰량조림상효과。결과：량조환자수술치료후，쇄석술수술조성공솔우우개방수술조18%(P<0.05)。동시쇄석술수술조수술시간、수술출혈량、인류관발제시간、주원시간균명현우우개방수술조(P<0.05)。쇄석술수술조환자무일례발생병발증，이개방수술조11례환자발생병발증。결론：수뇨관경하화격광쇄석술치료수뇨관결석림상효과교호，치득림상엄범응용。
Objective:To compare the clinical effect of ureteroscopic holmium laser lithotripsy and open operation in the treatment of ureteral calculi. Method:In our hospital from September 2011 to December 2012 100 cases of ureteral calculi,they were divided into lithotripsy operation group and open operation group,lithotripsy operation group was given ureteroscopic holmium:YAG laser lithotripsy.Open operation group was given traditional operation method. The clinical effect of two groups were observed.Result:The two groups of patients after surgical treatment,18% better than the open group success rate of lithotripsy group(P<0.05).At the same time for surgical operation time,bleeding volume during operation,drainage tube removal time,hospitalization time were significantly better than open surgery(P<0.05).No complications occurred for the patients in operation group and open surgery group,11 cases had complications. Conclusion:The clinical effect of holmium laser lithotripsy under ureteroscope in the treatment of ureteral calculi is good and worth of clinical application.
