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输尿管硬镜与输尿管软镜钬激光碎石术治疗输尿管上段不同部位结石的比较

Comparison of ureteral rigid versus ureteral flexible holmium laser lithotripsy for the treatment of stones in different parts of the upper ureter

来源期刊: 广州医药 | 752-758 发布时间:2024-08-21 收稿时间:2025/11/13 18:47:13 阅读量:27
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输尿管硬镜输尿管软镜钬激光碎石术输尿管结石
rigid ureteroscopeflexible ureteroscopeholmium laser lithotripsyureteral stones
DOI:
10.3969/j.issn.1000-8535.2024.07.009
收稿时间:
2024-01-20 
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引用总数:
1  
目的 对比输尿管硬镜、输尿管软镜钬激光碎石术在输尿管上段结石治疗中的应用价值。方法 分析于我院接受住院手术治疗的80例输尿管上段结石患者基本资料,按照入院顺序对患者进行分组治疗,对照组实施输尿管硬镜钬激光碎石术治疗,研究组实施输尿管软镜钬激光碎石术治疗,对比两组治疗相关数据及并发症发生率。结果 术后研究组患者PCT、CRP、IL-6、IL-10指标均较对照组理想(P<0.05);术后研究组患者生活质量评分高于对照组(P<0.05);研究组高热发生率低于对照组(P<0.05),其他并发症发生率无明显差异(P>0.05)。结论 相比输尿管硬镜,对输尿管上段结石患者实施输尿管软镜钬激光碎石术治疗能够显著改善手术指标和炎性因子指标,有利于提升患者术后生活质量,且安全性良好。
Objective To explore the value of ureteral rigid and ureteral flexible holmium laser lithotripsy in the treatment of upper ureteral stones.Methods The basic data of 80 patients with upper ureteral stones who underwent inpatient surgical treatment in our hospital were analysed,and the patients were divided into equal groups according to the order of admission.The control group was treated with holmium laser lithotripsy by rigid ureteroscopy,and the study group was treated with holmium laser lithotripsy by ureteroscopy,and the treatment-related data and the incidence of complications were compared between the two groups.Results PCT,CRP,IL-6,and IL-10 indices were closer to the standard range in patients in the study group after surgery(P<0.05);postoperative quality of life scores of the patients in the study group were higher compared with those in the control group(P<0.05);the incidence of hyperthermia was lower in the study group than in the control group(P<0.05),and there was no significant difference in the incidence of other complications(P>0.05).Conclusions Holmium laser lithotripsy with flexible ureteroscopy for patients with upper ureteral stones can significantly improve surgical indexes and inflammatory factor indexes,and is conducive to the improvement of postoperative quality of life and safety,and has the value of popularization.
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