摘要
目的:对比钬激光碎石术与体外冲击波碎石术治疗输尿管结石的效果。方法:选取2023年2月—2024年2月镇江市丹徒区人民医院收治的60例输尿管结石患者作为研究对象,随机分为对照组(n=30,实施体外冲击波碎石术)和观察组(n=30,实施钬激光碎石术)。比较两组治疗效果。结果:与对照组比,观察组并发症总发生率更低,一次碎石成功率更高(P<0.05);术后,两组血肌酐、血尿素氮水平低于术前,且与对照组比,观察组更低(P<0.05);术后,两组炎性因子水平较术前高,但与对照组比,观察组更低(P<0.05)。结论:在输尿管结石的治疗上,钬激光碎石术治疗输尿管结石的效果更好,可降低并发症发生率,提高一次性碎石成功率,改善肾功能指标,减轻炎性反应。
Objective:To compare the effect of holmium laser lithotripsy and extracorporeal shock wave lithotripsy in the treatment of ureteral calculi.Methods:A total of 60 patients with ureteral calculi admitted to Dantu District People's Hospital in Zhenjiang City from February 2023 to February 2024 were selected as the study subjects.They were randomly divided into control group(n=30,underwent extracorporeal shock wave lithotripsy)and observation group(n=30,underwent holmium laser lithotripsy).The therapeutic effects of the two groups were compared.Results:Compared with the control group,the observation group had a lower overall complication rate and a higher success rate of primary lithotripsy(P<0.05).After surgery,the levels of serum creatinine and blood urea nitrogen in the two groups were lower than those before surgery,and compared to the control group,the observation group had lower(P<0.05).After surgery,the inflammatory factor levels were higher in both groups compared to preoperative levels,but compared to the control group,the observation group had lower(P<0.05).Conclusion:In the treatment of ureteral stones,holmium laser lithotripsy has a better effect in the treatment of ureteral calculi,and can reduce the incidence of complications,increase the success rate of one lithotripsy,improve renal function indexes,and relieve inflammatory reaction.
作者
朱勇承
Zhu Yongcheng(Department of Urology Surgery,Dantu District People's Hospital in Zhenjiang City,Zhenjiang 212000,Jiangsu Province,China)
出处
《中国社区医师》
2024年第35期23-25,共3页
Chinese Community Doctors
关键词
输尿管结石
钬激光碎石
体外冲击波碎石
Ureteral calculi
Holmium laser lithotripsy
Extracorporeal shock wave lithotripsy
