摘要
目的比较输尿管镜钬激光与活检钳治疗结石性输尿管息肉的临床疗效。方法选取2019年8月至2022年6月昆山市第二人民医院收治的78例结石性输尿管息肉患者作为研究对象,按照随机数字表法分为对照组和观察组,每组39例。对照组采用输尿管镜钬激光治疗,观察组采用输尿管镜下活检钳治疗。比较两组临床指标、恢复情况及并发症发生情况。结果观察组手术时间、术后住院时间、尿液转清时间、术中出血量等临床指标均低于对照组,差异有统计学意义(P<0.05)。术前,两组肾积水、输尿管狭窄情况比较,差异无统计学意义(P>0.05);术后7 d,两组肾积水、输尿管狭窄发生率均下降,且观察组低于对照组,差异有统计学意义(P<0.05)。术后7 d,观察组穿孔、尿外渗等并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论采用输尿管活检钳治疗结石性输尿管息肉患者,对改善患者肾积水、息肉形态、输尿管狭窄有积极作用,具有显著疗效的同时可降低术后穿孔、尿外渗等并发症发生率。
Objective To compare the clinical efficacy of ureteroscopic holmium laser and biopsy forceps in the treatment of calculous ureteral polyps.Methods A total of 78 patients with calculous ureteral polyps treated in Department of Urology,Kunshan Second People's Hospital from August 2019 to June 2022 were selected.The patients were randomly divided into control group and observation group,with 39 patients in each group.The control group was treated with ureteroscopic holmium laser,while the observation group was treated with ureteroscopic biopsy forceps.The clinical indicators,recovery and incidence of complications after treatment were compared.Results The operation time,postoperative hospital stay,urine clearance time,intraoperative blood loss and other clinical indicators in the observation group were lower than those in the control group,with statistical significance(P<0.05).Before operation,there was no significant difference in hydronephrosis and ureteral stenosis between the two groups(P>0.05).The incidence of hydronephrosis and ureteral stenosis decreased 7 days after operation in both groups,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).Seven days after surgery,the incidence of complications such as perforation and urinary extravasation in the observation group was lower than that in the control group,with statistical significance(P<0.05).Conclusion Ureteral biopsy forceps can be used in the treatment of calculous ureteral polyps,which has a positive effect on the improvement of hydronephrosis,polyp morphology and ureteral stricture,and has a significant effect on reducing the incidence of postoperative complications such as perforation and urinary extravasation.
作者
张肖翔
尤志新
张浩宇
李亦磊
管曹军
Zhang Xiaoxiang;You Zhixin;Zhang Haoyu;Li Yilei;Guan Caojun(Department of Urology,Kunshan Second People's Hospital,Suzhou,Jiangsu 215300,China)
出处
《泌尿外科杂志（电子版）》
2023年第4期35-38,共4页
Journal of Urology for Clinicians(Electronic Version)
关键词
输尿管
息肉
结石
钬激光
活检钳
临床疗效
Ureter
Polyp
Calculus
Holmium laser
Biopsy forceps
Clinical efficacy
作者简介
通信作者:尤志新,E-mail:yzx1998007@163.com
