膀胱结石应用膀胱镜联合钬激光碎石的临床效果分析

江志晖+褚全贤+罗新成+和平+赵德江+郑亚娜

doi：10.3969/j.issn.1007-614x.2014.19.23

摘 要 目的：观察膀胱结石应用膀胱镜联合钬激光碎石的临床效果。方法：2011年12月-2013年12月收治膀胱结石患者94例，随机分为对照组和研究组，每组47例，给予对照组常规开腹术治疗，给予研究组应用膀胱镜联合钬激光碎石治疗，记录并分析两组相关情况。结果：研究组患者术中碎石时间明显短于对照组，出血量较对照组更少，术后导尿管留置时间也少于对照组；疼痛、焦虑两项评分值都显著低于对照组，运动功能分值高于对照组，住院时间较对照组更少，比较差异均具有统计学意义（P<0.05）。结论：膀胱结石应用膀胱镜联合钬激光碎石的临床效果更显著。

关键词 膀胱结石 膀胱镜 钬激光

Analysis of the clinical effect of bladder stones using cystoscope combined with holmium laser lithotripsy

Jiang Zhihui，Zhu Quanxian，Luo Xincheng，He Ping，Zhao Dejiang，Zheng Yana

The First Surgery，the People's Hospital of Nu River Lisu Autonomous Prefecture，Yunnan 673100

Abstract Objective：To explore the clinical effect of bladder stones using cystoscope combined with holmium laser lithotripsy.Methods：94 cases with bladder stones were selected from December 2011 to December 2013.They were randomly divided into the control group and the study group with 47 cases in each，The control group were treated with conventional open surgery treatment，The study group were treated with cystoscope combined with holmium laser lithotripsy.We recorded and analyzed the relevant situation of the two groups.Results：In the study group，intraoperative crushed stone time was shorter than the control group.The amount of bleeding was obviously less than that in the control group.Postoperative indwelling catheter time was less than the control group.Pain and anxiety scores were significantly lower than those of the control group.Motor function scores was higher than the control group.The hospitalization time was less than the control group.The differences were all statistically significant（P<0.05）.Conclusion：The clinical effect of bladder stones using cystoscope combined with holmium laser lithotripsy is significant.

Key words Bladder stones；Cystoscope；Holmium laser

本文重点探讨和分析膀胱结石应用膀胱镜联合钬激光碎石的临床效果，现报告如下。

资料与方法

2011年12月-2013年12月收治膀胱结石患者94例，随机分为对照组和研究组，每组47例。对照组男34例，女13例，年龄26～71岁，平均（46.28±1.74）岁，其中单发结石32例，多发结石15例。研究组男36例，女11例，年龄27～72岁，平均年龄（46.91±1.83）岁，其中单发结石33例，多发结石14例。两组性别、年龄、结石类型等一般情况比较差异无统计学意义（P>0.05），具有可比性。

纳入与排除标准：①纳入标准：经X线、B超检查确诊患者；所有症状均符合膀胱结石临床表现者；无手术禁忌证；积极配合治疗者；家属签订治疗知情同意书[1]。②排除标准：有严重慢性疾病者；心肝肾功能不健全者；不配合治疗者；资料记录不完整者。

治疗方法：①对照组采取常规开腹术治疗，腰部进行麻醉，切开膀胱前壁清除结石[2]。……