输尿管镜下气压弹道和钬激光碎石术治疗输尿管结石临床疗效差异  

Clinical efficacy difference of ureteroscopic pneumatic lithotripsy and holmium laser lithotripsy in the treatment of ureteral calculi

作　　者：陈早庆[1] 方钟进[1] 杨昌俊[1] 

机构地区：[1]广东省东莞市厚街医院泌尿外科,533945

出　　处：《中国实用医药》2017年第32期5-7,共3页China Practical Medicine

基　　金：广东省东莞市科技局(项目编号:201610515001201)

摘　　要：目的探讨输尿管镜下气压弹道和钬激光碎石术治疗输尿管结石的临床疗效。方法 79例输尿管结石患者,根据手术方式的不同分为A组(32例,给予输尿管镜下气压弹道碎石术)和B组(47例,给予输尿管镜下钬激光碎石术)。比较两组患者手术时间、住院时间、一次性结石清除率及并发症发生率。结果 B组患者手术时间为(40.6±13.6)min、住院时间为(4.0±0.8)d,均短于A组的(51.9±11.7)min、(5.4±1.1)d,差异均具有统计学意义(P<0.05)。B组患者一次性结石清除率为95.74%,高于A组的68.75%,差异具有统计学意义(P<0.05);两组患者术后血尿、发热及输尿管穿孔发生率比较,差异均无统计学意义(P>0.05)。结论输尿管镜下钬激光碎石术相对气压弹道碎石术可提高一次性结石清除率,缩短手术时间、促进患者术后康复。Objective To investigate the clinical efficacy of ureteroscopic pneumatic lithotripsy and holmium laser lithotripsy in the treatment of ureteral calculi. Methods A total of 79 ureteral calculi patients were divided by different surgical methods into group A（32 cases, ureteroscopic pneumatic lithotripsy） and group B（47 cases, ureteroscopic holmium laser lithotripsy）. comparison were made on operation time, hospitalization time, disposable stone clearance rate and incidence of complications between two groups. Results Group B had operation time as（40.6±13.6） min, hospitalization time as（4.0±0.8） d, which were all shorter than（51.9±11.7） min and（5.4±1.1） d in group A, and their difference was statistically significant（P〈0.05）. Group B had higher disposable stone clearance rate as 95.74% than 68.75% in group A, and the difference was statistically significant（P〈0.05）. Both groups had no statistically significant difference in incidence of postoperative hematuria, fever and ureteral perforation（P〈0.05）. Conclusion Compared with pneumatic lithotripsy, ureteroscopic holmium laser lithotripsy in the treatment of ureteral calculi can improve disposable stone clearance rate, shorten operation time and promote postoperative rehabilitation.

关 键 词：输尿管镜 输尿管结石 气压弹道碎石 钬激光碎石 

分 类 号：R699.4[医药卫生—泌尿科学]