文章摘要
高翔,董德鑫,张洪波,何露,张大坤,张浪.硕通镜下钬激光碎石术治疗上尿路结石患者的清石率及安全性[J].中国临床保健杂志,2020,23(5):656-659.
硕通镜下钬激光碎石术治疗上尿路结石患者的清石率及安全性
The lithotripsy rate and safety of Shuotong microscope in the treatment of upper urinary calculus
投稿时间:2019-12-09  
DOI:10.3969/J.issn.1672-6790.2020.05.019
中文关键词: 尿路结石症  碎石术,激光  治疗结果
英文关键词: Urolithiasis  Lithotripsy,laser  Treatment outcome 〖FL
基金项目:首都医学发展基金项目(2016-1-4971)
作者单位E-mail
高翔 北京市隆福医院泌尿外科,北京100010 gsh1546@163.com 
董德鑫 中国医学科学院北京协和医院泌尿外科  
张洪波 北京市隆福医院泌尿外科,北京100010  
何露 华润武钢总医院泌尿外科  
张大坤 北京市隆福医院泌尿外科,北京100010  
张浪 北京市隆福医院泌尿外科,北京100010  
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中文摘要:
      目的 探讨硕通镜钬激光碎石术治疗上尿路结石患者的清石率及安全性。方法 选取2016年6月至2019年11月北京市隆福医院收治的74例上尿路结石患者为研究对象,按照患者病床单双号分为两组,分别为观察组、对照组。观察组实施硕通镜下钬激光碎石术治疗,对照组实施微创经皮肾镜碎石术治疗,对比两组患者的各项围手术期指标。结果 观察组患者的手术时间、术中出血量及住院时间与对照组比较,均优于对照组(P<0.05);观察组结石清除率为94.59%,与对照组的89.19%对比,差异无统计学意义(P>0.05)。手术前,两组患者疼痛程度比较,差异有统计学意义(P<0.05);手术后,观察组疼痛评分要显著低于对照组(P<0.05)。观察组术后并发症发生率为5.41%,显著低于对照组的21.62%(P<0.05)。结论 硕通镜下钬激光碎石术治疗上尿路结石患者的临床价值显著,清石率高,且术后疼痛轻,并发症发生率低。
英文摘要:
      Objective To analyze the lithotripsy rate and safety of Shuotong mirror in the treatment of upper urinary tract calculi.Methods From June 2016 to november 2019,74 patients with upper urinary calculi admitted in our hospital were selected as the research objects.They were divided into two groups according to the patient's bed sheets and double numbers,which were the observation group and the control group.The observation group was treated with Holmium laser lithotripsy under Shuotong mirror,while the control group was treated with minimally invasive percutaneous nephrolithotripsy.The operative and postoperative indexes of the two groups were compared.Results Compared with the control group,the operation time,bleeding volume and hospitalization time in the observation group were better than those in the control group (P<0.05).The stone removal rate of the observation group was 94.59%,which was not statistically significant compared with the control group (89.19%),P>0.05.Before surgery,there was no significant difference in pain between the two groups,P<0.05;after surgery,the pain score in the observation group was significantly lower than that in the control group (P<0.05).The incidence of postoperative complications in the observation group was 5.41%,which was significantly lower than that in the control group (21.62%),P<0.05.Conclusion Holmium laser lithotripsy under the master microscope has significant clinical value in the treatment of patients with upper urinary calculi,which has high stone clearing rate,light postoperative pain,low incidence of complications and high clinical promotion value.
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