摘要
目的:比较两种经输尿管镜碎石术治疗泌尿系结石的疗效。方法:选取我院2017年1月~2019年1月以输尿管结石收住院的144例患者为本次实验的研究对象,分为两组,研究组和对照组各72例,研究组患者行经输尿管镜钬激光碎石术治疗,对照组患者行经输尿管镜气压弹道碎石术治疗。结果:研究组的平均手术时间(44.79±16.37)min、双J管留置时间(27.72±5.45)d、住院时间(7.31±3.09)d;对照组平均手术时间(40.88±16.07)min、双J管留置时间(24.19±9.78)d、住院时间(6.88±3.95)d,两组患者手术时间、住院时间差异均无统计学意义(P>0.05),仅对照组的双J管留置时间较研究组短,差异具有统计学意义(P<0.05)。在并发症方面,两组均有术后并发症发生,研究组总发生率为5.6%,对照组总发生率为4.2%,差异无统计学意义(P>0.05)。结论:输尿管镜下钬激光碎石术和气压弹道碎石术均是治疗泌尿系结石安全可靠的手术方式。
Objective:To compare the curative effect of two kinds of ureteroscopic lithotripsy in the treatment of urinary calculi.Methods:114 cases of ureteral calculi,admitted to and treated in ouRhospital between January of 2017 and 2019,were included and divided into observational group and control group(n=72 foReach group)to compare the clinical outcomes.Results:The average operative time and hospital stay were insignificant between groups[(44.79±16.37)min;(7.31±3.09)d vs.(40.88±16.07)min;(6.88±3.95)d,P>0.05],yet duration of indwelling double J-tube was significantly different[27.72±5.45)d vs.(24.19±9.78)d,P<0.05].There was no significant difference in total incidence of complications between observational group(6%)and control group(4%)(P>0.05).Conclusion:Ureteroscopic holmium laseRlithotripsy and pneumatic lithotripsy are safe and reliable procedures in the treatment of urinary calculi.
作者
黄少鹏
张琪
陈杨
巴正
卓栋
HUANG Shaopeng;ZHANG Qi;CHEN Yang;BA Zheng;ZHUO Dong(Department of Urology,The First Affiliated Hospital of Wannan Medical College,Wuhu 241001,China)
出处
《皖南医学院学报》
CAS
2020年第1期58-60,共3页
Journal of Wannan Medical College
基金
安徽省公益性技术应用研究联动计划项目(1704f0804046)
安徽省高校人文社会科学研究项目(SK2018A0197)。
