钬激光与气压弹道碎石术治疗输尿管上段结石的疗效比较  

Comparison of effects of holmium laser lithotripsy and pneumatic lithotripsy in the treatment of upper ureteral calculi

作　　者：毕革文[1] 石才汇 覃智标[1] 黄瑞旭[1] 赵书晓[1] 黄新[1] 雷华[1] 黄崛倬 

机构地区：[1]广西中医药大学第一附属医院泌尿外科,南宁市530023

出　　处：《微创医学》2015年第6期734-736,共3页Journal of Minimally Invasive Medicine

基　　金：广西区卫计委科研项目(编号:S201410-04)

摘　　要：目的比较钬激光与气压弹道治疗输尿管上段结石的临床疗效。方法选择2010年5月至2015年11月在我院接受气压弹道碎石治疗的121例输尿管上段结石患者为对照组,采用钬激光碎石治疗的145例输尿管上段结石患者为观察组。比较两组手术时间、碎石成功率、结石逃逸、并发症情况。结果观察组一次性碎石成功率为92.4%,高于气压弹道组的78.5%,两组比较,差异有统计学意义(P<0.01);观察组结石排尽时间为15 d,明显少于对照组的30 d,两组比较,差异有统计学意义(P<0.01)。观察组无并明显发症发生,对照组5例出现穿孔。结论钬激光治疗输尿管上段结石比气压弹道碎石具有更高的成功率及安全性,在经输尿管镜碎石术中可作为首选。Objective To compare the efficacy of holmium laser lithotripsy and pneumatic lithotripsy in the treatment of upper ureteral calculi. Methods A total of 121 cases with upper ureteral calculi treated by pneumatic lithotripsy were selected as control group, when 145 cases with upper ureteral calculi treated by holmium laser lithotripsy were selected as observation group. The operation time, the success rate of lithotripsy, the escape of stones and the complications of the two groups were compared. Results The success rate of lithotripsy in the observation group was 92.4%, significantly higher than 78.5% of the control group（P 〈0.01 ）. The average stonefree time of the observation group was 15d, significantly less than 30d of the control group（P 〈0.01 ）. The observation group showed no obvious complications, while 5 cases of the control group were perforated. Conclusions In the treatment of upper ureteral calculi, holmium laser lithotripsy is more effect and safety than pneumatic lithotripsy.

关 键 词：输尿管上段结石 钬激光 气压弹道 

分 类 号：R699.4[医药卫生—泌尿科学]