CAJ | 학술논문

目的：探讨经尿道钬激光治疗输尿管口囊肿并结石的疗效及安全性。方法回顾性分析23例经尿道钬激光治疗输尿管口囊肿并结石患者（微创组）与11例行开放手术切除囊肿并取石治疗的患者（开放组），比较两组患者手术时间、术中出血量、导尿管留置时间、住院时间、术后并发症发生率。结果微创组患者手术时间（20．0±5．6） min，术中出血量（15．0±2．3）ml，下床活动时间（10．0±2．5）h，导尿管留置时间（2．3±0．2）d，住院时间（5．0±0．6）d；开放组患者分别为（90．0±10．3）min，（80．0±12．7） ml，（48．0±5．3） h，（7．0±1．1） d，（11．0±1．7） d，两组各指标比较差异均有统计学意义（ P ＜0．05）。微创组患者术后并发症发生率为8．6％，低于对照组的45．4％，差异有统计学意义（ P ＜0．05）。结论经尿道钬激光治疗输尿管口囊肿并结石具有创伤小、出血少、手术时间短、恢复快、并发症发生率低的优点，是治疗输尿管口囊肿并结石安全、有效的方法。
목적：탐토경뇨도화격광치료수뇨관구낭종병결석적료효급안전성。방법회고성분석23례경뇨도화격광치료수뇨관구낭종병결석환자（미창조）여11례행개방수술절제낭종병취석치료적환자（개방조），비교량조환자수술시간、술중출혈량、도뇨관류치시간、주원시간、술후병발증발생솔。결과미창조환자수술시간（20．0±5．6） min，술중출혈량（15．0±2．3）ml，하상활동시간（10．0±2．5）h，도뇨관류치시간（2．3±0．2）d，주원시간（5．0±0．6）d；개방조환자분별위（90．0±10．3）min，（80．0±12．7） ml，（48．0±5．3） h，（7．0±1．1） d，（11．0±1．7） d，량조각지표비교차이균유통계학의의（ P ＜0．05）。미창조환자술후병발증발생솔위8．6％，저우대조조적45．4％，차이유통계학의의（ P ＜0．05）。결론경뇨도화격광치료수뇨관구낭종병결석구유창상소、출혈소、수술시간단、회복쾌、병발증발생솔저적우점，시치료수뇨관구낭종병결석안전、유효적방법。
Objective Discussion transurethral holmium laser treatment of ureteral orifice cyst and stones efficacy and safety . Methods A retrospective analysis of 23 cases of transurethral holmium laser treatment in patients with ureteral orifice cysts and stones (minimally invasive group) and 11 cases of open surgical excision of the cyst and stone -treated patients (open group), two groups were compared operative time, blood loss , catheterization time, hospital stay, postoperative complication rate .Results Minimally invasive surgery patients time (20.0 ±5.6)min, blood loss (15.0 ±2.3)ml, ambulation time (10.0 ±2.5)h, catheterization time (2.3 ± 0.2)d, length of hospital stay (5.0 ±0.6)d; open group of patients were (90.0 ±10.3)min, (80.0 ±12.7)ml, (48.0 ±5.3)h, (7.0 ±1.1)d, (11.0 ±1.7)d, two groups of indicators differences were statistically significant ( P <0.05).Postoperative complica-tions occurred in patients with minimally invasive group was 8.6%, down from 45.4% in the control group, the difference was statisti-cally significant ( P <0.05).Conclusions Transurethral holmium laser treatment of ureteral orifice cysts and stones with less trau -ma, less bleeding, shorter operative time, rapid recovery, the advantages of the low rate of complications , treatment of ureteral orifice cysts and stones safe and effective method .