输尿管镜钬激光和体外冲击波碎石术对输尿管上段结石的疗效比较  

Comparison ureteroscopy with holmium:YAG laser lithotripsy and extracorporeal shock wave lithotripsy in treatment of ureteral upper calculi

作　　者：傅军红[1] 周长春[1] 卢大乔[1] 

机构地区：[1]温州医学院附属东阳医院泌尿外科,浙江东阳322100

出　　处：《现代医学》2011年第4期427-429,共3页Modern Medical Journal

摘　　要：目的:比较输尿管镜钬激光碎石术与体外冲击波碎石术(ESWL)治疗输尿管上段结石的有效性和安全性。方法:采用输尿管镜钬激光碎石术治疗输尿管上段结石72例,ESWL治疗输尿管上段结石54例,比较两组碎石成功率、结石清除率、手术时间和并发症发生率。结果:输尿管镜钬激光碎石术平均手术时间为(40±9)min,ESWL平均手术时间为(42±8)min(P>0.05);输尿管镜钬激光碎石术碎石成功率为95.83%,高于ESWL组的83.33%(P<0.05);输尿管镜钬激光碎石术3个月后结石清除率为91.67%,高于ESWL组的74.07%(P<0.05);输尿管镜钬激光碎石术组并发症发生率为5.56%(4/72),ESWL组为3.70%(2/54),两组差异无统计学意义(P>0.05)。结论:输尿管镜钬激光碎石术治疗输尿管上段结石疗效优于ESWL。Objective： To compare ureteroscopy with holmium： YAG laser lithotripsy and extracorporeal shock wave lithotripsy （ESWL） in treatment of upper ureteral calculi. Methods： Seventy-two patients underwent ureteroscopy with holmium：YAG laser lithotripsy,54 patients underwent ESWL. The operation success rate, stone- free rate, operation time and incidence rate of complications were compared between the two groups. Results：The mean operation time in ureteroscopy with holmium：YAG laser lithotripsy group was （40 _＋ 9 ）min, in ESWL group was （42 _＋8）min（P 〉0.05）. The success rate was 95.83% in ureteroscopy with holmium：YAG laser lithotripsy group, which was higher than that of ESWL group （ 83.33%, P 〈 0.05 ）. Three months later the stone-free rate was 91.67% in ureteroscopy with holmium： YAG laser lithotripsy group, which was higher than that of ESWL group （74.07%, P 〈 0.05）. The complication rate was 5.56% （4/72） in ureteroscopy with holmium： YAG laser lithotripsy group, 3.70% （2/54） in ESWL group （ P 〉 0.05 ）. Conclusion： Ureteroscopy with holmium ： YAG laser lithotripsy for upper ureteral calculi is more effective than ESWL.

关 键 词：输尿管上段结石 钬激光 输尿管镜术 体外冲击波碎石术 

分 类 号：R693.4[医药卫生—泌尿科学] R454.2[医药卫生—外科学]