经尿道输尿管镜钬激光碎石术对复杂性输尿管上段结石患者术后康复及并发症发生率的影响
[摘要]目的 探讨经尿道输尿管镜钬激光碎石术对复杂性输尿管上段结石患者术后康复及并发症发生率的影响。方法 选取2013年12月~2017年12月我院收治的107例复杂性输尿管上段结石患者,按术式不同分为对照组(53例)与观察组(54例)。对照组采取经皮肾镜气压弹道碎石术治疗,观察组采取经尿道输尿管镜钬激光碎石术治疗。比较两组的手术情况、一次碎石成功率、术后并发症发生率及术前、术后2个月生活质量(SF-36评分)。结果 两组的手术用时比较,差异无统计学意义(P>0.05)。观察组的住院时间、术后血尿持续时间均短于对照组,差异有统计学意义(P<0.05)。观察组的一次碎石成功率(92.59%)與对照组(96.23%)比较,差异无统计学意义(P>0.05)。观察组的术后并发症总发生率为3.71%,低于对照组的16.98%,差异有统计学意义(P<0.05)。两组术后2个月的SF-36评分均较术前提高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论 复杂性输尿管上段结石患者予以经尿道输尿管镜钬激光碎石术治疗不仅效果确切,且可显著促进患者康复,减少并发症发生,提高患者生活质量。
[关键词]复杂性输尿管上段结石;经尿道输尿管镜钬激光碎石术;术后康复;并发症
[中图分类号] R693.4 [文献标识码] A [文章编号] 1674-4721(2018)11(a)-0102-04
Influence of transurethral ureteroscopic holmium laser lithotripsy on postoperative rehabilitation and incidence of complications in patients with complicated upper ureteral calculi
HONG Jie
Department of Urology, People′s Hospital of Poyang County in Jiangxi Province, Poyang 333100, China
[Abstract] Objective To explore the influence of transurethral ureteroscopic holmium laser lithotripsy on postoperative rehabilitation and incidence of complications in patients with complicated upper ureteral calculi. Methods From December 2013 to December 2017, 107 patients with complicated upper ureteral calculi were selected and divided into the control group with 53 cases and the observation group with 54 cases according to operative method. The control group was treated with percu...
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