输尿管软镜联合钬激光治疗肾和输尿管上段结石的效果观察

Abstract
Figure/Table
References (15)
Related Citation (5)

Download: PDF (0 KB) HTML (32 KB)
Export: BibTeX | EndNote (RIS)

Abstract ObjectiveTo explore the clinical efficacy of ureteral soft mirror combined with holmium laser in the treatment of renal and upper ureteral calculi.Methods90 patients with renal and upper ureteral calculi who were treated in our hospital from July 2015 to February 2017 were selected and randomly divided into the control group and the observation group,with 45 patients in each group.The control group was given extracorporeal shock wave lithotripsy,and the observation group was given ureteral soft mirror combined with holmium laser.The stress index levels,the exclusion rate of stone and the incidence rate of complications were compared between the two groups.ResultsThere were no significant differences in the level of Cor,CRP and IL-6 between the two groups before treatment(P＞0.05).The levels of Cor, CRP and IL-6 in the observation group after treatment were significantly lower than those in the control group after the treatment,with significant difference (P＜0.05).The rate of stone exclusion in the observation group was 97.78%,which was higher than 84.44%in the control group,with significant difference(P＜0.05).The incidence rate of complications in the observation group was 13.33%,which was lower than 42.22%in the control group,with significant difference (P＜0.05).ConclusionUreteral soft mirror combined with holmium laser therapy in the treatment of renal and upper ureteral calculi can effectively improve the overall stone exclusion rate,with less trauma,while the rate of complications can be better controlled,which is worthy of clinical promotion.

Key words： Ureteral soft mirror Holmium laser Renal and upper ureteral calculi

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LIU Xue-feng
	SHI Li-jiao
	LI Bing-hua

Cite this article:

LIU Xue-feng,SHI Li-jiao,LI Bing-hua. Effect observation of ureteral soft mirror combined with holmium laser in the treatment of renal and upper ureteral calculi[J]. 中国当代医药, 2017, 24(31): 77-79.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I31/77

[1]	刘泉，徐留玉，李顺，等.电子输尿管软镜下钬激光碎石术治疗上尿路结石疗效观察[J].山东医药，2014，54（6）：84-85.
[2]	刘可，肖春雷，刘余庆，等.输尿管软镜下钬激光憩室颈部切开及碎石治疗微小出口肾盏憩室结石[J].北京大学学报（医学版），2015，47（4）：618-621.
[3]	常启跃，叶茂，罗琦，等.输尿管软镜治疗＞2 cm肾和输尿管上段结石的疗效和安全性评价[J].第三军医大学学报，2016，38（3）：302-306.
[4]	刘东亮，朱蜀侠，袁丹，等.输尿管软镜联合输尿管硬镜钬激光碎石术治疗复杂性输尿管上段结石[J].四川医学，2015，36（5）：632-635.
[5]	李鑫，宋波，孔广起，等.组合式输尿管软镜联合钬激光治疗肾及输尿管上段结石97例报告[J].中国微创外科杂志，2016，16（7）：621-623.
[6]	李明，何华，万恩明，等.组合式输尿管软镜钬激光治疗上尿路结石57例报道[J].中国微创外科杂志，2014，14（2）：140-142.
[7]	程传宇，何恒，张二军，等.电子输尿管软镜钬激光碎石术在人免疫缺陷病毒感染肾结石患者治疗中的应用 [J].中华泌尿外科杂志，2016，37（12）：928-931.
[8]	李钧，肖荆，陈恒润，等.输尿管软镜钬激光碎石术治疗儿童和婴幼儿上尿路结石：单中心92例经验总结[J].中华泌尿外科杂志，2016，37（11）：851-854.
[9]	韩宇平，尚东梅.组合式输尿管软镜与经皮肾镜碎石术治疗老年肾结石的疗效比较[J].中国老年学杂志，2016，36（8）：1935-1937.
[10]	徐勇杰，毛金尉，张瑞龙，等.组合式输尿管软镜联合钬激光碎石术治疗上尿路结石143例[J].中国微创外科杂志，2016，16（11）：977-979，989.
[11]	范波，丁琪，范志江，等.新型组合式输尿管软镜联合钬激光治疗肾结石的疗效[J].实用医学杂志，2016，32（19）：3216-3219.
[12]	蒋祥新，蔡万松，闻立平，等.输尿管软镜鞘直视置入法钬激光碎石术一期治疗肾结石的临床分析[J].中华泌尿外科杂志，2016，37（12）：932-935.
[13]	孙颖浩，戚晓升，王林辉，等.输尿管软镜下钬激光碎石术治疗肾结石（附51例报告）[J].中华泌尿外科杂志，2002，23（11）：681-682.
[14]	李天，李逊，何永忠，等.双通道输尿管软镜与电子输尿管软镜行碎石手术的比较研究[J].中国内镜杂志，2017，23（3）：34-37.
[15]	叶利洪，李雨林，李王坚，等.肾下盏解剖结构对输尿管软镜下钬激光碎石治疗肾下盏结石疗效的影响[J].中华泌尿外科杂志，2013，34（1）：24-27.