首页|钬激光碎石术与气压弹道碎石术对输尿管结石患者手术相关指标、术后并发症发生率的影响

钬激光碎石术与气压弹道碎石术对输尿管结石患者手术相关指标、术后并发症发生率的影响

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目的 探讨钬激光碎石术(HLL)与气压弹道碎石术(PL)对输尿管结石患者手术相关指标、术后并发症发生率的影响.方法 选取 2022 年 1 月—2023 年 1 月商河县中医院收治的 70 例输尿管结石患者为研究对象,按照随机数字表法将其分为对照组与观察组,各35例.对照组采用PL治疗,观察组采用HLL治疗.比较两组患者的结石清除率、手术相关指标、肾功能指标及术后并发症发生情况.结果 治疗后,观察组结石清除率为 100.00%,高于对照组的80.00%,差异有统计学意义(P<0.05).观察组手术时间、结石排净时间、术后血尿时间、下床活动时间及住院时间均短于对照组,术中出血量少于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组尿素氮及血肌酐水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05).结论 输尿管结石患者采用HLL术治疗,相较于PL,可取得更为显著的治疗效果,可有效改善手术相关指标,提升患者肾功能,降低并发症发生率.
Comparison of the Effects of Holmium Laser Lithotripsy and Pneumatic Ballistic Lithotripsy on Surgical Related Indicators and Incidence of Postoperative Complications in Patients with Ureteral Calculi
Objective To investigate the influence of Holmium Laser Lithotripsy(HLL)and Pneumatic Lithotripsy(PL)on operation-related indexes and the incidence of postoperative complications in patients with ureteral calculi.Methods 70 patients with ureteral calculi admitted to Shanghe County Hospital of Traditional Chinese Medicine from January 2022 to January 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 35 cases in each group.The control group was treated with PL and the observation group was treated with HLL.The calculi clearance rate,operation-related indexes,renal function indexes and postoperative complications were compared between the two groups.Results After treatment,the stone clearance rate of observation group was 100.00%,higher than 80.00%of the control group,the difference was statistically significant(P<0.05).The operation time,stone clearing time,postoperative hematuria time,getting out of bed time and hospital stay time in observation group were shorter than those in control group,and the intraoperative blood loss was less than that in the control group,with statistical significance(P<0.05).After treatment,the levels of urea nitrogen and serum creatinine in the observation group were lower than before treatment,and the observation group was lower than that in the control group,with statistical significance(P<0.05).Conclusion Compared with PL,HLL can achieve a more significant therapeutic effect in the treatment of ureteral calculi,which can effectively improve the operation-related indexes,improve the renal function of patients,but also reduce the incidence of complications.

Ureteral calculiHolmium laser lithotripsyPneumatic lithotripsyStone clearance rateRenal function

吕立涛、高鹏、李华燕

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商河县中医院外二科,山东济南 251600

商河县中医院介入导管室,山东济南 251600

输尿管结石 钬激光碎石术 气压弹道碎石术 结石清除率 肾功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(5)
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