经输尿管镜钬激光碎石术与气压弹道碎石术治疗输尿管结石的临床疗效比较  

A comparative study of holmium laser lithotripsy and pneumatic lithotripsy for ureteral stones

作　　者：仝墨泽 刘见辉[1] 陶汉寿[1] 罗世华[1] 胡仁保[1] 乔九玉 于干[1] 

机构地区：[1]安徽省合肥市第二人民医院泌尿外科,安徽合肥230011

出　　处：《安徽医药》2014年第5期887-889,共3页Anhui Medical and Pharmaceutical Journal

摘　　要：目的比较输尿管镜钬激光碎石术(holmium laser lithotfipsy,HL)与气压弹道碎石术(pneumatic lithotripsy,PL)治疗输尿管结石的临床疗效。方法总结应用输尿管镜技术治疗165例输尿管结石患者的临床材料,其中钬激光碎石术有81例,气压弹道碎石术有84例。结果钬激光碎石术碎石总有效率为96.3%,高于气压弹道碎石术的85.7%(P<0.05);钬激光碎石术平均手术时间为(26.1±3.5)min,短于气压弹道碎石术的(38.3±5.2)min(P<0.05)。结论钬激光碎石术的有效率和手术时间均优于气压弹道碎石术。钬激光碎石是治疗输尿管结石的一种安全高效的方法。Objective To compare the clinical efficacy of endoscopic holmium laser lithotfipsy（HL） and pnumatic lithotripsy（PL） for ureteral stones. Methods The data of 165 patients who underwent HL（81 cases） and PL（84 cases） for the treatment of ureteral stones during January 2011 to May 2013 were retrospectively analyzed. Results The overall efficiency of stone fragmentation of Hl was higher than that of PL（96. 3% vs 85. 7%,P 〈 0. 05）. The average operation time was shorter for HL than for PL[（26. 1 ± 3. 5） min vs.（38. 3 ± 5. 2） min,P 〈 0. 05]. Conclusions HL has its advantage over PL in high efficiency of stone fragmentation and low complication rate,which is an effective and safe treatment for ureteral stones.

关 键 词：输尿管结石 输尿管镜 钬激光碎石术 气压弹道碎石术 

分 类 号：R699[医药卫生—泌尿科学]