当代医药论丛2023年第21卷第15期·论著·1·论著·标准通道经皮肾镜钬激光碎石术治疗96例肾结石的疗效分析王苏贵，吴自余*，王磊，李强，姜福金（徐州医科大学附属淮安医院，淮安市第二人民医院泌尿外科，江苏淮安223002）[摘要]目的：探讨标准通道经皮肾镜钬激光碎石术治疗肾结石的临床疗效。方法：选取2021年1月至2022年10月在徐州医科大学附属淮安医院应用标准通道经皮肾镜钬激光碎石术治疗的肾结石患者96例，观察其手术时间、术后住院时间、一期清石率、术后并发症等临床资料，并对结果进行分析。结果：96例患者均顺利一期完成手术，平均手术时间（72.20±35.21）min，术后血红蛋白下降（8.17±22.66）g/L，术后平均住院时间（5.22±2.05）d，一期清石率80.21%（77/96），术后出现肾包膜下血肿2例，泌尿系感染3例，均通过治疗痊愈。结论：标准通道经皮肾镜钬激光碎石术治疗肾结石有良好的临床可行性和安全性，值得推广使用。[关键词]标准通道经皮肾镜钬激光碎石术；肾结石；并发症[中图分类号]R692.4[文献标识码]A[文章编号]2095-7629-（2023）15-0001-03Effectanalysisofstandardchannelpercutaneousnephroscopicholmiumlaserlithotripsyinthetreatmentof96casesofkidneystonesWANGSugui,WUZiyu*,WANGLei,LIQiang,JIANGFujin(DepartmentofUrology,TheSecondPeople’sHospitalofHuai‘an,AffiliatedtoXuzhouMedicalUniversity,Huai‘anJiangsu223002)[Abstract]Objective:Toinvestigatetheclinicalefficacyofstandardchannelpercutaneousnephrolithotripsywithholmiumlaserinthetreatmentofkidneystones.Methods:Atotalof96patientswithkidneystoneswhoweretreatedbystandardchannelpercutaneousnephroscopicholmiumlaserlithotripsisinHuaianHospitalAffiliatedtoXuzhouMedicalUniversityfromJanuary2021toOctober2022wereselected.Clinicaldatasuchasoperationtime,postoperativehospitalstay,first-stagestoneremovalrateandpostoperativecomplicationswereobserved,andtheresultswereanalyzed.Result:Allthe96patientssuccessfullycompletedtheoperationinonestage,themeanoperationtimewas(72.20±35.21)min,thepostoperativehemoglobindecreased(8.17±22.66)g/L,themeanpostoperativehospitalstaywas(5.22±2.05)d,thefirst-stagestoneremovalratewas80.21%(77/96),and2casesdevelopedsubcapsularrenalhematoma.Threecasesofurinarytrac...
