彭志 李凤腾 林柏

[摘要]目的 探讨组合式输尿管软镜联合钬激光治疗肾结石的效果。方法 选取我院2017年5月～2018年5月收治的150例肾结石患者作为研究对象，按随机数字表法分为组合式输尿管软镜联合钬激光组（75例）、一体式输尿管软镜组（75例），分别给予组合式输尿管软镜联合钬激光治疗和一体式输尿管软镜治疗。比较两组的结石大小、手术时间、术后住院时间；结石清除率、并发症发生情况。结果 组合式输尿管软镜联合钬激光组的手术时间[（88.11±35.11）min]、术后住院时间[（5.22±1.53）d]均短于一体式输尿管软镜组，差异有统计学意义（P<0.05）。组合式输尿管软镜联合钬激光组的结石清除率（93.33%）明显高于一体式输尿管软镜组，并发症发生率（9.33%）明显低于一体式输尿管软镜组，差异均有统计学意义（P<0.05）。结论 组合式输尿管软镜联合钬激光治疗肾结石的效果显著。

[关键词]组合式输尿管软镜；钬激光；肾结石；临床效果

[中图分类号] R692.4 [文献标识码] A [文章编号] 1674-4721（2018）9（a）-0094-03

[Abstract] Objective To investigate the effect of combinatorial flexible ureteroscope combined with holmium laser in treatment of renal stones. Methods A total of 150 patients with renal stones treated in our hospital from May 2018 to May 2017 were selected as study objects. The patients were divided into the combinatorial flexible ureteroscope combined with holmium laser group （75 cases） and the integrated flexible ureteroscope group （75 cases） according to the random number table method， and the two groups was treated by combinatorial flexible ureteroscope combined with holmium laser and integrated flexible ureteroscope. The stone size， operation time， postoperative hospital stay， stone clearance rate and the incidence complications were compared between the two groups. Results The operation time （[88.11±35.11] min） and postoperative hospital stay （[5.22±1.53] d） of the combinatorial flexible ureteroscope combined with holmium laser group were shorter than those of the integrated flexible ureteroscope group， and the differences were statistically significant （P<0.05）. The clearance rate of stones （93.33%） in the combinatorial flexible ureteroscope combined with holmium laser group was significantly higher than that in the integrated flexible ureteroscope group， and the incidence of complications （9.33%） was significantly lower than that in the integrated flexible ureteroscope group （P<0.05）. Conclusion The effect of combinatorial flexible ureteroscope combined with holmium laser in treatment of renal stones is significant.

[Key words] Flexible ureteroscope； Holmium laser； Renal stones； Clinical effect

传统开放手术、经皮肾镜碎石术、输尿管软镜碎石术均是目前治疗肾结石的常见手术方式，其中，输尿管软镜碎石术是借助机体自然腔道实施微创乃至“无创”的方式治疗泌尿系结石，该治疗方式的临床疗效已普遍被广大泌尿系结石患者所接受。本研究旨在探讨组合式输尿管软镜联合钬激光治疗肾结石患者的效果，现报道如下。

1资料与方法

1.1一般资料

选取我院2017年5月～2018年5月收治的150例肾结石患者作为研究对象，按随机数字表法分为组合式输尿管软镜联合钬激光组（75例）与一体式输尿管软镜组（75例）。组合式输尿管软镜联合钬激光组中，男50例，女25例；年龄42～62岁，平均（52.22±6.66）岁；结石直径12～18 mm，平均（15.66±1.22）mm。一体式输尿管软镜组中，男51例，女24例；年龄43～63岁，平均（52.31±6.57）岁；结石直径11～17 mm，平均（15.75±1.19）mm。两组的一般资料比较，差异无统计学意义（P>0.05），具有可比性。……