不同大小肾结石患者采用输尿管软镜下钬激光治疗的效果比较

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Abstract Objective To compare the clinical efficacy of flexible ureteroscopic holmium laser lithotripsy (FURS) in treatment of different sizes of kidney stones. Methods The clinical data of 60 patients with kidney stones who admitted in our hospital from January 2018 to September 2019 were retrospectively analyzed and divided into small stone group(stone diameter ≤2 cm) and large stone group (stone diameter ＞2 cm) according to the size of the stones, with 30 cases in each group. The patients in two groups were treated with FURS. The surgical indexes, stone clearance rate, the quality of life and the incidence of postoperative complications were compared between the two groups. Results There were no statistically significant differences in the intraoperative bleeding volume and decreased value of hemoglobin between the two groups (P＞0.05). The operation time, hospital stays time and postoperative removing stone time in large stone group were longer than those in small stone group, and the differences were statistically significant (P＜0.05). There were no statistical differences in the stone clearance rate and the incidence of postoperative complications between the two groups (P＞0.05). There was no statistically significant difference in the generic quality of life inventory (GQOLI-74)score before and 1 month after surgery between the two groups (P＞0.05). The GQOLI-74 scores 1 month after surgery in two groups were higher than those before surgery, and the differences were statistically significant (P＜0.05). Conclusion FURS in treatment of kidney stones ＞2 cm or ≤2 cm has higher stone clearance rates, it can significantly increase quality of life of patients, and it has advantages of high safety, small trauma and less complications, which has better curative effects for small stones and higher safety.

Key words： Different sizes of kidney stones Flexible ureteroscope Holmium laser Stone clearance rate

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	Articles by authors
	WU Hua-jun
	WU Jun
	YU Kai-ye
	HE Yu

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WU Hua-jun,WU Jun,YU Kai-ye, et al. Effect comparison of flexible ureteroscopic holmium laser in the treatment of different sizes of kidney stones[J]. 中国当代医药, 2020, 27(28): 85-87转91.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I28/85

[1]	刘大乐，肖克峰，刘岩峰，等.输尿管软镜钬激光碎石术治疗孤立肾肾结石[J].中国中西医结合外科杂志，2019，25（3）：350-353.
[2]	王军才，李占琦.应用输尿管软镜下钬激光治疗肾结石患者的效果[J].当代医学，2019，25（31）：141-142.
[3]	索朗次仁.输尿管硬镜联合软镜处理＞2 cm 的特殊类型肾结石[J].现代泌尿外科杂志，2016，21（3）：203-205.
[4]	吴猛，刘良兵，易东风.软性输尿管镜钬激光碎石术与经皮肾镜碎石取石术治疗直径≤2 cm 肾结石5年回顾性分析[J].临床外科杂志，2017，25（6）：469-471.
[5]	杨景明，曹炀.输尿管软镜钬激光碎石术联合COOK 三丝套石篮用于输尿管上段结石疗效观察[J].山东医药，2018，58（9）：84-86.
[6]	朱澄村，饶婷，程帆，等.输尿管软镜碎石术治疗孤立肾肾结石的有效性和安全性分析[J].中华泌尿外科杂志，2019，40（4）：281-284.
[7]	刘跃光，李文科，郭军宏，等.输尿管软镜术前置管和不置管输尿管扩张器1 期手术治疗2 cm 内肾结石的有效性和安全性分析[J].中国伤残医学，2018，26（9）：57-58.
[8]	曹石金，张新明，叶宗岳，等.输尿管软镜与微通道经皮肾镜碎石术治疗肾结石疗效比较[J].海南医学，2019，30（3）：297-300.
[9]	颜锡欣，洪志坚，姚锦树.输尿管软镜下钬激光碎石术治疗肾结石的有效性评价[J].中国当代医药，2018，25（14）：44-46.
[10]	赵国斌，刘鑫，唐玉红，等.输尿管软镜治疗肾结石手术时间的影响因素分析[J].中国医药导报，2019，16（18）：65-68.
[11]	朱峰，陈帅奇，侯国栋，等.无扩张鞘下输尿管软镜钬激光治疗≤2 cm 肾结石的可行性研究[J].现代泌尿外科杂志，2017，22（12）：907-910.
[12]	王凯，杨川.两种方法治疗复杂性肾结石的效果比较[J].检验医学与临床，2019，16（13）：1935-1937.
[13]	张林，刘同族，王行环，等.输尿管软镜碎石取石术治疗2 cm以上肾结石的临床观察[J].武汉大学学报，2017，38（5）：812-814.
[14]	王永恒，张学光.分体式输尿管软镜钬激光治疗肾输尿管上段2 cm 以上结石的疗效评估[J].实用临床医药杂志，2018，22（5）：65-67.
[15]	吴爱斌，秦锁炳，卜强.经皮肾镜取石术与输尿管软镜下钬激光碎石术治疗直径≤2 cm 及>2 cm 肾结石的临床疗效比较[J].医学临床研究，2017，34（12）：2474-2475.