经输尿管镜气压弹道碎石术与钬激光碎石术治疗输尿管结石的疗效和安全性对比分析  

The efficacy and safety of ureteroscopy pneumatic lithotripsy and holmium laser lithotripsy for ureteral calculi

作　　者：牛心慧 

机构地区：[1]淄博矿业集团有限责任公司中心医院泌尿外科,山东淄博255120

出　　处：《中国现代医生》2016年第18期41-43,共3页China Modern Doctor

摘　　要：目的探讨经输尿管镜气压弹道碎石术与钬激光碎石术治疗输尿管结石的疗效和安全性。方法将178例输尿管结石患者按照治疗方法分为经输尿管镜气压弹道碎石术组（A组，n=89）与钬激光碎石术组（B组，n=89），比较两组的临床疗效及安全性。结果B组手术时间、术中出血量、住院天数均显著小于A组（P〈0．05），B组一次清石率显著高于AN（P〈0．05）；两组治疗后BUN、Cr水平较治疗前均显著下降（P〈0．05～0．01），且B组患者治疗后肾功能指标水平：匀显著低于A组（P〈0．05）；B组治疗后并发症发生率为4．49％（4／89），显著低于A组（16．85％，15／89）（P〈0．01L）。结论与经输尿管镜气压弹道碎石术相比，钬激光碎石术治疗输尿管结石的疗效和安全性尤佳，应在临床上推广。Objective lb explore the efficacy and safety of ureteroscopy pneumatic lithotripsy and holmium laser lithotripsy for ureteral calculi. Methods A total of 178 cases of ureteral calculi patients were divided into ureteroscopy pneumatic lithotripsy （group A,n=89） and holmium laser lithotripsy group （group B, n=89）. The clinical efficacy and safety were compared. Results Operative time, blood loss, length of hospital stay in group B were significantly lower than that in group A （P〈O.05）, a stone clearance rate in group B was significantly higher than group A （P〈0.05）; After treatment, the BUN, Cr levels were significantly decreased than before treatment of two groups （P〈0.05-0.01）, and after the renal function of group B was significantly decreased than group A after treatment （P〈0.05）; The complications in group B was 4.49%（4/89） after treatment, was significantly lower than that in group A（16.85%, 15/89）（P〈0.01）. Conclu- sion Compared with urel：eroscopy pneumatic lithotripsy, holmium laser lithotripsy for ureteral calculi has good efficacy and safety of preferred, iL should be promoted in clinical practice.

关 键 词：输尿管结石 经输尿管镜气压弹道碎石术 钬激光碎石术 安全性 

分 类 号：R699[医药卫生—泌尿科学]