细输尿管镜钬激光碎石治疗输尿管结石的临床效果

[摘要]目的 探讨细输尿管镜钬激光碎石术治疗输尿管结石的效果。方法 选择2012年6月～2015年6月我院收治的150例输尿管结石患者作为研究对象，随机分为细输尿镜钬激光组和气压弹道组，每组75例患者，对患者进行时长为3～6个月的随访，观察两组患者的手术情况、碎石的成功率、并发症的发生情况。结果 细输尿镜钬激光组的手术时间为（35.6±6.3）min，住院天数为（6.1±1.4）d；气压弹道组的手术时间为（53.4±8.1）min，住院天数为（8.5±1.4）d，细输尿镜钬激光组的手术时间、住院天数显著低于对照组，差异有统计学意义（P

[关键词]输尿管结石；钬激光；输尿管镜

[中图分类号] R693 [文献标识码] A [文章编号] 1674-4721（2016）08（a）-0064-03

[Abstract]Objective To study the curative efficacy of fine ureteroscopic holmium laser lithotripsy for the treatment of ureteral calculi.Methods 150 cases of patients who were treated for ureteral calculi from June 2012 to June 2015 in our hospital were selected as the research objects，they were randomly divided into two groups，fine ureteroscope holmium laser group and pneumatic ballistic group，each group had 75 patients，after patients for 3-6 months follow-up，the surgery condition，the success rate of gravel，the incidence of complications of the two groups were compared.Results The operation time of fine ureteroscope holmium laser group was （35.6±6.3） min，the hospitalization time was （6.1±1.4） days；the operation time of pneumatic lithotripsy group was （53.4±8.1） min，the hospitalization time was（8.5±1.4） day，the operation time of fine ureteroscope holmium laser group，duration of hospitalization were significantly lower than those of the control group，and there were significant differences（P

[Key words]Ureteral calculi；Holmium laser；Ureteral lithotripsy

钬激光产生波长近红外线激光，通过软光纤传送，汽化结石表面的水形成空泡，将能量传至结石，能够安全有效地粉碎泌尿系统的结石[1-2]。为研究钬激光联合细输尿管镜治疗输尿管结石的临床效果，本文对输尿管结石患者进行细输尿管镜钬激光碎石术治疗，取得了理想疗效，现报道如下。

1资料与方法

1.1一般资料

选择2012年6月～2015年6月我院收治的150例患者，其中，男82例，女68例，年龄22～76岁，平均57岁；双侧输尿管结石16例，单侧结石134例（左侧75例，右侧59例）；下段结石99例，中段结石30例，上段结石21例；结石直径为0.7～2.1 cm，平均1.0 cm。150例均有不同程度肾积水，35例伴患侧重度肾积水，31患者曾有体外冲击波碎石（ESWL）史，7例既往有输尿管切开取石手术史。合并高血压37例，合并糖尿病15例，术前皆控制良好，排除手术禁忌。所有患者术前常规摄腹部平片（KUB）。随机将其分为细输尿镜钬激光组和气压弹道组，每组75例患者。两组患者在性别、年龄等方面比较，差异无统计学意义（P>0.05），具有可比性。