经皮肾镜UMS超声碎石清石系统与钬激光碎石术治疗复杂肾结石的效果比较  

An Effective Comparison of UMS Ultrasonic Lithotripsy System and Holmium Laser PCNL on Complex Renal Calculus

作　　者：曾令浩[1] 张义木[1] 白海涛[1] 

机构地区：[1]湖北省麻城市人民医院泌尿外科,438300

出　　处：《医学理论与实践》2016年第16期2149-2151,共3页The Journal of Medical Theory and Practice

摘　　要：目的:对比分析经皮肾镜下UMS超声碎石清石系统与钬激光碎石术治疗复杂肾结石的疗效、安全性。方法:回顾性分析我院2013年6月-2015年12月复杂肾结石90例患者的临床资料,将患者按照手术方法分为两组,采用经皮肾镜UMS超声碎石清石系统和经皮肾镜钬激光碎石术治疗复杂肾结石的患者分别为48例(1组)和42例(2组),分别记录以上两组的手术时间、一期取石成功率、术后主要并发症、住院天数及治疗费用等,然后进行对比分析。结果:两组患者均一次成功建立皮肾通道,并行同期碎石取石术。两组在一期结石清除率、术后主要并发症发生率、住院天数、治疗费用等方面无明显统计学差异。而手术时间在两组间存在差异。结论:经皮肾镜下UMS超声碎石清石系统与钬激光两种碎石方式治疗复杂肾结石,临床疗效和安全性相当,1组手术时间比2组短。Objective：To compare the efficacy and safety of UMS ultrasonic lithotripsy system and holmium laser in percutaneous nephrolithotomy（PCNL）on complex renal calculus.Methods：90renal calculus patients with PCNL from From June 2013 to December 2015 in our hospital were retrospectively analyzed.The patients were divided into UMS group and holmium laser group.The operation time,stone retention rate,complications and length of stay were compared.Results：The percutaneous renal access was successfully established in 90 patients under one-staged PCNL.The operation time in UMS group were less than those in holmium laser group and there was statistical significance.While significant differences were not observed in one-staged stone clearance rate,hospitalization time,cost of hospitalization,post operative complications rate.Conclusion：The UMS ultrasonic lithotripsy system has the same efficiency and safety with holmium laser group,and it has more advantages than holmium laser in the operation time of complex renal calculus.

关 键 词：超声碎石清石系统 钬激光 经皮肾镜取石术 铸型肾结石 

分 类 号：R692.4[医药卫生—泌尿科学]