摘要
目的:分析输尿管软镜钬激光碎石术治疗直径25~30 mm肾结石的效果及对患者生活质量的影响。方法:抽取2019年9月-2021年9月于肇庆市第一人民医院接受治疗的肾结石患者56例的临床资料进行回顾性分析,按手术方式分成两组,每组28例。研究组采用输尿管软镜钬激光碎石术治疗,参照组采用经皮肾镜取石术治疗。对比两组手术相关指标、结石清除率、生活质量(QOL)及并发症发生情况。结果:研究组患者的术中出血量少于参照组,住院时间短于参照组,差异均有统计学意义(P<0.05);两组患者手术用时比较,差异无统计学意义(P>0.05)。两组患者的结石清除率对比,差异无统计学意义(P>0.05)。研究组患者术后1个月的QOL评分均高于参照组(P<0.05)。研究组的并发症发生率为7.14%,低于参照组的21.43%(P<0.05)。结论:输尿管软镜钬激光碎石术与经皮肾镜取石术治疗直径25~30 mm的肾结石效果相当,但前者可以减少患者术中出血量与住院时间,患者术后的生活质量更高,并发症更少,值得在直径25~30 mm的肾结石患者中推广使用。
Objective:To analyze the effect of flexible ureteroscope holmium laser lithotripsy in the treatment of kidney stones with diameter of 25-30 mm and its impact on the quality of life of patients.Method:The clinical data of 56 patients who received treatment for kidney stones in the First People’s Hospital of Zhaoqing City from September 2019 to September 2021 were collected for retrospective analysis,and they were divided into two groups according to the operation method,with 28 cases in each group.The study group was treated with flexible ureteroscope holmium laser lithotripsy,and the reference group was treated with percutaneous nephrolithotomy.The surgery-related indicators,stone removal rate,quality of life(QOL)and complications of the two groups were compared.Result:The intraoperative blood loss of the study group was less than that of the reference group,and hospital stay of the study group was shorter than that of the reference group,the differences were statistically significant(P<0.05);there was no significant difference in operation time between the two groups(P>0.05).There was no significant difference in stone clearance rate between the two groups(P>0.05).The QOL scores of the patients in the study group were higher than those of the reference group at 1 month after surgery(P<0.05).The complication rate of the study group was 7.14%,which was lower than 21.43%of the reference group(P<0.05).Conclusion:Flexible ureteroscope holmium laser lithotripsy and percutaneous nephrolithotomy are effective in treating kidney stones with diameter of 25-30 mm,but the former can reduce the amount of bleeding and hospital stay in patients,and improve the quality of life of patients after surgery,it is high and has fewer complications,it is worthy of popularization in patients with kidney stones with diameter of 25-30 mm.
作者
刘鸿翔
LIU Hongxiang(The First People’s Hospital of Zhaoqing City,Guangdong Province,Zhaoqing 526000,China)
出处
《中国医学创新》
CAS
2022年第2期15-19,共5页
Medical Innovation of China
基金
肇庆市科技计划项目(201904030820)。
关键词
肾结石
输尿管软镜
经皮肾镜
钬激光
Kidney stones
Flexible ureteroscopy
Percutaneous nephroscope
Holmium laser
作者简介
通信作者:刘鸿翔。
