CAJ | 학술논문

目的:对微创经皮肾镜下钬激光治疗小儿上尿路结石的临床效果进行探讨.方法:自我院病例中纳入研究对象80例,均为我院2014年2月份到2015年6月份收治的符合小儿上尿路结石诊断标准的患儿.随机分成对照组和实验组,各40例.对照组应用常规输尿管镜取石术治疗,实验组应用微创经皮肾镜下钬激光治疗.对两组患儿的治疗效果进行观察和对比.结果:实验组的总有效率为95%,比对照组的总有效率的77.5%要高,差异显著,P<0.05,统计学意义成立.实验组的术后感染率比对照组要低,一次性结石清除率比对照组高,差异显著,P<0.05,统计学意义成立.结论:应用微创经皮肾镜下钬激光对小儿上尿路结石进行治疗,其安全性高,且治疗效果理想,值得推荐.
목적:대미창경피신경하화격광치료소인상뇨로결석적림상효과진행탐토.방법:자아원병례중납입연구대상80례,균위아원2014년2월빈도2015년6월빈수치적부합소인상뇨로결석진단표준적환인.수궤분성대조조화실험조,각40례.대조조응용상규수뇨관경취석술치료,실험조응용미창경피신경하화격광치료.대량조환인적치료효과진행관찰화대비.결과:실험조적총유효솔위95%,비대조조적총유효솔적77.5%요고,차이현저,P<0.05,통계학의의성립.실험조적술후감염솔비대조조요저,일차성결석청제솔비대조조고,차이현저,P<0.05,통계학의의성립.결론:응용미창경피신경하화격광대소인상뇨로결석진행치료,기안전성고,차치료효과이상,치득추천.
Objective: To investigate the clinical effect of minimally invasive percutaneous holmium laser in the treatment of upper urinary tract calculi in children. Methods: 80 cases of hospital patients were included in the study. All of the patients were admitted to our hospital from February 2014 to June 2015. Randomly divided into control group and experimental group, each of 40 cases. The control group was treated with conventional treatment of ureteral calculi, and the experimental group was treated with minimally invasive percutaneous endoscopic holmium laser. The therapeutic effect of two groups of children were observed and compared.Results: the total effective rate of the experimental group was 77.5%, which was higher than that of the control group, the difference was significant,P<0.05, the statistical significance was set up. The infection rate in the experimental group was lower than that in the control group, and the removal rate of the disposable stones was higher than that in the control group, the difference was significant,P<0.05, and the statistical significance was set up.Conclusion: minimally invasive percutaneous renal holmium laser lithotripsy for treatment of upper urinary tract calculi in children is safe, and the treatment effect is satisfactory.