输尿管硬镜钬激光碎石治疗输尿管上段嵌顿性结石的临床分析.doc

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1、输尿管硬镜秋激光碎石治疗输尿管上段嵌顿性结石的临床分析［摘要］目的探讨输尿管硬镜钦激光碎石治疗输尿管上段嵌顿性结石的临床效果。方法选取本院2011年4月〜2012年4月收治的输尿管上段嵌顿性结石患者50例，将其随机分为观察组与对照组各25例,观察组行输尿管硬镜钦激光碎石术，对照组行气压弹道碎石术，观察两组患者的临床疗效。结果观察组碎石成功率为96%,明显高于对照组的76%；并发症发生率为4%,明显低于对照组的16%；手术时间为(103±26)min、住院时间为(11.7±2.1)d,明显短于对照组的(246±38)min及(19.3±3.4)d,差异有统计学

2、意义(PV0.05)。结论输尿管硬镜钦激光碎石治疗输尿管上段嵌顿性结石，碎石成功率高,并发症少，安全可靠，值得临床推广。［关键词］输尿管上段嵌顿性结石；输尿管硬镜钦激光碎石；气压弹道碎石［中图分类号］R693+.4［文献标识码］B［文章编号］1674-4721(2014)03(c)-0186-02ClinicalanalysisofrigidureteroscopeholmiumlaserlithotripsyintreatmentofimpactedupperureteralcalculiHUANGXiao-dongZHUANGQi-huiLIUHong-

3、huiFANChun-yanZHUHuang-huiPeople'sHospitalofQidongCityinJiangsuProvince,Qidong226200,China[Abstract]ObjectiveToinvestigatetheclinicaleffectofrigidureteroscopeholmiumlaserlithotripsyinthetreatmentofureteralcalculiincarcerated.Methods50casesofpatientswithimpactedupperureteralcalculii

4、nourhospitalfromApril2011toApril2012wereselected,andwererandomlydividedintoobservationgroupandcontrolgroup,25casesineachgroup,rigidureteroscopeholmiumlaserlithotripsywasimplementedtotheobservationgroup,pneumaticlithotripsywasimplementedtothecontrolgroup,theclinicalefficacyofthetwog

5、roupswasobserved.ResultsThegravelsuccessrateofobservationgroupwas96%,wassignificantlyhigherthan76%ofthecontrolgroup;theincidenceofcomplicationswas4%,wassignificantlylowerthan16%ofthecontrolgroup;theoperativetimeandhospitalstaywas(103+26)minand(11.7+2.1)d,wassignificantlyshorterthan

6、(246+38)minand(19.3+3.4)dofthecontrolgroup,therewassignificantdifference(P观察比较两组患者的碎石成功率、并发症发生率、手术时间及住院时间。1.5统计学方法应用SPSS16.0统计软件进行数据分析，计数资料采用x2检验，计量资料用x±s表示，采用t检验,以P