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外科研究与新技术（中英文）

外科研究与新技术（中英文） ›› 2025, Vol. 14 ›› Issue (1): 69-72.doi: 10.3969/j.issn.2095-378X.2025.01.017

• 论著 • 上一篇    下一篇

输尿管软镜钬激光碎石术治疗肾结石的效果研究

周杰彬, 董瑜, 罗向东   

  1. 广西中医药大学附属瑞康医院空港院区泌尿外科,广西 崇左 532100
  • 收稿日期:2024-08-26 出版日期:2025-03-28 发布日期:2025-04-09
  • 作者简介:周杰彬（1978—），男，硕士，副主任医师，从事临床泌尿外科工作；电子信箱：7221684@qq.com

Effect of flexible ureteroscopic holmium laser lithotripsy on kidney stones

ZHOU Jiebin, DONG Yu, LUO Xiangdong   

  1. Department of Urology, Airport Hospital, Ruikang Hospital Affiliated to Guangxi University of Traditional Chinese Medicine, Chongzuo 532100, Guangxi, China
  • Received:2024-08-26 Online:2025-03-28 Published:2025-04-09

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摘要： 目的　探究输尿管软镜钬激光碎石术（FURL）治疗肾结石的临床疗效,并与经皮肾镜碎石取石术（PCNL）进行比较。方法　选择2022年1月—2023年12月医院收治的68例肾结石患者作为研究对象,按照所采用术式分为FURL组和PCNL组,每组34例,比较两组疗效。结果　FURL组临床总有效率明显高于PCNL组（P<0.05）。两组手术时间比较,差异无统计学意义（P>0.05）;FURL组术中出血量和住院时间明显少于PCNL组（P<0.05）。术前,两组肾功能指标比较,差异无统计学意义（P>0.05）;术后3 d,两组肾功能指标均明显升高（P<0.05）,但FURL组低于PCNL组（P<0.05）。FURL组术后并发症发生率明显低于PCNL组（P<0.05）。结论　与PCNL比较,FURL治疗肾结石的疗效更为理想,有效改善肾功能,有利于患者术后康复,且并发症较少。

关键词: 输尿管软镜钬激光碎石术, 经皮肾镜碎石取石术, 肾结石, 临床效果, 肾功能

Abstract: Objective To investigate the clinical efficacy of flexible ureteroscopic holmium laser lithotripsy （FURL） in the treatment of kidney stones, and to compare it with percutaneous nephrolithotripsy （PCNL）. Methods A total of 68 patients with kidney stones admitted from January 2022 to December 2023 were selected as study subjects, and were divided into FURL group and PCNL group according to the operation type, with 34 cases in each group. The efficacy of the two groups was compared. Results The total clinical effective rate of the FURL group was significantly higher than that of the PCNL group （P<0.05）. The operation time of the two groups was not different （P>0.05）. The amount of intraoperative blood loss and hospital stay in the FURL group were significantly lower than those in the PCNL group （P<0.05）. Before operation, the renal function indexes of the two groups were not different （P>0.05）. After 3 d of operation, the renal function indexes in both groups were significantly increased （P<0.05）, but the indexes in the FURL group were lower than those in the PCNL group （P<0.05）. The incidence of postoperative complications in the FURL group was significantly lower than that in the PCNL group （P<0.05）. Conclusion Compared with PCNL, FURL is more effective in treating kidney stones, effectively improves renal function, facilitates postoperative rehabilitation, and has fewer complications.

Key words: Flexible ureteroscopic holmium laser lithotripsy, Percutaneous nephrolithotripsy, Kidney stone, Clinical effectiveness, Renal function

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