简介: [摘要 ]目的 探讨输尿管结石患者行经输尿管镜下钬激光碎石治疗的手术方式及临床效果。方法 选取 2018年 9月~ 2019年 9月在我院接受治疗的 84例输尿管结石患者作为研究对象,随机分为输尿管镜下钬激光碎石组和气压弹道碎石组,各 42例。比较两组的临床总有效率、疼痛程度及日常功能活動评分。结果 输尿管镜下钬激光碎石组的总有效率为 97.62%,显著高于气压弹道碎石组的 80.95%,差异有统计学意义( P<0.05)。两组治疗后的 LAS评分和 VAS评分均低于治疗前,差异有统计学意义( P<0.01)。输尿管镜下钬激光碎石组治疗后的 LAS评分和 VAS评分均低于气压弹道碎石组,差异有统计学意义( P<0.01)。结论 经输尿管镜下钬激光碎石治疗输尿管结石的效果确切,可明显缓解疼痛,提高生活活动功能。 [关键词 ]输尿管结石;激光碎石;输尿管镜 [Abstract] Objective To investigate the surgical method and clinical effect of holmium laser lithotripsy under ureteroscope in patients with ureteral calculi. Methods 84 cases of ureteral calculi in our hospital from September 2018 to September 2019 were randomly divided into ureteroscopic holmium laser lithotripsy group and pneumatic lithotripsy group, 42 cases in each group. The clinical total effective rate, pain degree and daily function activity score of the two groups were compared. Results the total effective rate of holmium laser lithotripsy group was 97.62%, which was significantly higher than 80.95% of pneumatic lithotripsy group (P < 0.05). The LAS and VAS scores of the two groups after treatment were lower than those before treatment (P < 0.01). The LAS and VAS scores of holmium laser lithotripsy group after treatment were lower than those of pneumatic lithotripsy group (P < 0.01). Conclusion ureteroscopic holmium laser lithotripsy is effective in the treatment of ureteral calculi, which can significantly relieve pain and improve the function of life activities.
简介:【摘要】目的 探讨经尿道钬激光膀胱肿瘤切除术(HoLRBT)与经尿道等离子膀胱肿瘤电切术(PKRBT)在膀胱侧壁肿瘤治疗中的应用效果。方法 随机选取2019年3月-2020年7月本院60例膀胱侧壁肿瘤患者,分组采用平行对照法,每组30例;对照组与观察组分别经尿道等离子膀胱肿瘤电切术与经尿道钬激光膀胱肿瘤切除术,比较治疗效果。结果 术中出血量、手术时间、尿管留置时间和膀胱冲洗时间方面,观察组比对照组少,差异明显(P