经皮肾镜EMS-4代碎石清石系统与钬激光治疗肾结石的疗效比较  

Efficacy comparison between fourth generation EMS ultrasonic lithotripsy system and holmium laser PCNL on renal calculus

作　　者：袁雪锋[1] 周伟民[1] 曹才新[1] 邵燕强[1] 

机构地区：[1]江苏大学附属宜兴人民医院泌尿外科,江苏无锡214200

出　　处：《实用临床医药杂志》2012年第21期59-61,共3页Journal of Clinical Medicine in Practice

基　　金：中国高校医学期刊临床专项资金(11220133)

摘　　要：目的比较第4代EMS气压弹道联合超声碎石清石系统与钬激光在经皮肾镜术中治疗肾结石的疗效和安全性。方法回顾性分析2011年1月—2012年5月在本院行经皮肾镜手术治疗肾结石的60例患者的临床资料,根据碎石方法的不同分为EMS组和钬激光组,比较2组手术时间、结石残留率、手术并发症及术后住院时间的差异。结果 EMS组的平均手术时间及结石残留率均少于钬激光组,差异有统计学意义;2组在并发症及术后住院时间方面差异无统计学意义。结论第4代EMS气压弹道联合超声碎石清石系统是一种高效、安全的碎石手段,在经皮肾镜手术治疗肾结石中较钬激光更具优越性。Objective To compare the efficacy of the fourth generation EMS ultrasonic lithotripsy system and holmium laser PCNL on renal calculus. Methods Sixty renal calculus patients with PCNL from January 2011 to May 2012 in our hospital were retrospectively analyzed. The patients were divided into EMS group and holmium laser group. The operation time, stone retention rate, complications and length of stay were compared. Results The operation time and stone retention rate in EMS group were less than those in holmium laser group and there was statis- tical significance. While there was no statistical significance in complications and length of stay between the two groups. Conclusion The fourth generation EMS ureterorenoscopy combined with ultrasonic lithotripsy system is an efficient and safe method, and it has more advantages than holmium laser in the treatment of renal calculus.

关 键 词：肾结石 钬激光 EMS碎石清石系统 经皮肾镜取石术 

分 类 号：R692.4[医药卫生—泌尿科学]