输尿管镜下钬激光与气压弹道碎石治疗输尿管结石效果的比较(附1035例报告)  

Comparison of Holmium Laser and Pneumatic Lithotripsy in Managing Ureteral Calculi:Report of 1035 Cases

作　　者：孙星慧[1] 林文洪[1] 吴卫真[1] 谭建明[1] 

机构地区：[1]南京军区福州总医院泌尿外科,福州350025

出　　处：《中国微创外科杂志》2009年第3期216-218,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨输尿管镜下钬激光与气压弹道碎石治疗输尿管结石的疗效差异。方法回顾性分析2002年2月～2007年2月输尿管镜下钬激光与气压弹道碎石治疗1035例输尿管结石的临床资料。结果钬激光组一次性碎石成功率99.1%(328/331),气压弹道碎石一次性成功率97.6%(687/704),2组一次性碎石成功率无统计差异(χ2=2.703,P=0.100);术后3周复查,钬激光与气压弹道碎石结石排净率分别为98.2%(322/328)、88.1%(605/687)(χ2=28.639,P=0.000)。钬激光组损耗输尿管镜11根,气压弹道组损耗6根,2组有统计学差异(χ2=8.509,P=0.004)。结论钬激光治疗输尿管结石排净率高于气压弹道碎石,但输尿管镜损耗多于气压弹道碎石。Objective To compare the efficacy of Holmium：YAG laser and pneumatic lithotripsy in the treatment of ureteral calculi.Methods From February 2002 to February 2007,totally 1035 patients with ureteral calculi underwent ureteroscopic lithotripsy with Holmium：YAG laser or pneumatic lithotripsy in our hospital.The data of the patients were analyzed retrospectively.Results The success rate of primary lithotripsy was 99.1%（328/331）in the patients received holmium laser,and 97.6%（687/704）in those who underwent pneumatic lithoclast（χ2=2.703,P=0.100）.Stone-free rate at 3 weeks was 98.2%（322/328）in the Holmium laser group,which was significantly higher than that in the pneumatic lithoclast group 88.1%（605/687）,χ2=28.639,P=0.000].However,significantly more ureteroscopes were damaged in the Holmium laser group than the pneumatic lithoclast group（11 vs 6,χ2=8.509,P=0.004）.Conclusions The stone-free rate in holmium laser group is higher than that in pneumatic lithoclast group.However,more ureteroscopes are damaged by holmium laser.

关 键 词：钬激光 输尿管结石 气压弹道碎石 输尿管镜 

分 类 号：R693.4[医药卫生—泌尿科学]