钬激光碎石术治疗泌尿系结石的临床效果及对疼痛程度的影响
Clinical Effect of Holmium Laser Lithotripsy in the Treatment of Urinary Calculi and Its Influence on the Degree of Pain
宋启侠 1罗艺彬 2刘龙1
作者信息
- 1. 邵武市立医院泌尿外科,福建邵武 354000
- 2. 邵武市立医院碎石室,福建邵武 354000
- 折叠
摘要
目的 研讨钬激光碎石术(Holmium Laser Lithotripsy,HLL)治疗泌尿系结石的临床效果及对疼痛程度的影响.方法 方便选取2020年8月—2022年6月邵武市立医院收治的84例泌尿系结石患者作为研究对象,采用随机数表法分为对照组和观察组,各42例.对照组接受气压弹道碎石术(Pneumatic Lithotripsy,PL),观察组接受钬激光碎石术(Holmium Laser Lithotripsy,HLL),比较两组一次性碎石率、手术基本情况、术后疼痛程度、手术前后机体炎症程度以及术后并发症发生率.结果 观察组一次性碎石率为95.24%,高于对照组的80.95%,差异有统计学意义(P<0.05).观察组手术基本指标值及术后疼痛程度评分均小于对照组,差异有统计学意义(P均<0.05).观察组术后1 d的机体炎症程度均小于对照组,差异有统计学意义(P<0.05).观察组并发症发生率为7.14%,低于对照组的23.81%,差异有统计学意义(P<0.05).结论 HLL术用于泌尿系结石的治疗效果较好,一次性碎石率较高,可有效减轻术后疼痛程度及机体炎症程度,减少并发症发生.
Abstract
Objective To study the clinical effect of holmium laser lithotripsy(HLL)in the treatment of urinary calculi and its influence on the degree of pain.Methods A total of eighty-four patients with urinary calculi admitted to Sha-owu Municipal Hospital for surgical treatment from August 2020 to June 2022 were conveniently selected as the re-search object,and the two groups were divided into control group and observation group,20 cases each.The control group received pneumatic ballistic lithotripsy(PL),and the observation group received(holmium laser lithotripsy)HLL.The rate of one-time lithotomy,surgical conditions,postoperative pain degree,inflammation degree before and after surgery and postoperative complications were compared between the two groups.Results The one-time gravel rate in the observation group was 95.24%,higher than 80.95%in the control group,the difference was statistically sig-nificant(P<0.05).The basic indexes and postoperative VAS scores of the observation group were less and shorter than those of the control group,and the differences were statistically significant(both P<0.05).The CRP and PCT values in the observation group were significantly lower than those in the control group one day after operation,and the differ-ence was statistically significant(P<0.05).The total incidence of complications in the observation group was 7.14%,lower than 23.81%in the control group,and the difference was statistically significant(P<0.05).Conclusion HLL is effective in the treatment of urinary calculi,the one-time lithotripsy rate is high,and it can effectively reduce the de-gree of postoperative pain and inflammation,and reduce the occurrence of complications.
关键词
泌尿系结石/钬激光碎石术/临床效果/疼痛程度/机体炎症程度Key words
Urinary calculi/Holmium laser lithotripsy/Clinical effect/Degree of pain/Degree of body inflammation引用本文复制引用
出版年
2024
NETL
NSTL
维普
万方数据