气压弹道碎石术与钬激光碎石术治疗输尿管结石的疗效分析  

Pneumatic ballistic lithotripsy with holmium laser lithotripsy curative effect analysis for the treatment of ureteral calculi

作　　者：黄军成[1] 凌峰[1] 莫方胜 陈浩贤[1] 陈洪铭 Huang Juncheng;Ling Feng;Mo Fangsheng;Chen Haoxian;Chen Hongming(Department of Surgical one,Guangdong Provincial Agricultural Reclamation Center Hospital,Zhanjiang,Guangdong,524002,China)

机构地区：[1]广东省农垦中心医院外一科,广东湛江524002

出　　处：《当代医学》2020年第11期71-73,共3页Contemporary Medicine

摘　　要：目的分析输尿管结石患者治疗中气压弹道碎石术与钬激光碎石术的疗效。方法随机选取本院2017年3月至2019年4月收治的270例输尿管结石患者,依据手术措施的不同分为对照组和研究组。对照组130例,给予气压弹道碎石术,研究组140例,给予钬激光碎石术,对比两组碎石效果及手术指标。结果术后,研究组有135例患者一次性成功碎石,结石排净率95.71%,优于对照组的110例,80.77%,差异具有统计学意义(P<0.05)。研究组血尿时间、手术时长以及住院时间均短于对照组,差异具有统计学意义(P<0.05)。结论钬激光碎石术治疗输尿管结石患者效果更为显著,可提升患者碎石效果,且创伤小,能促使患者恢复,值得临床推广应用。Objective To analysis of pneumatic ballistic lithotripsy in the treatment of ureteral calculi patients and the effect of holmium laser lithotripsy.Methods 270 patients with ureteral calculi were randomly selected in our hospital from March 2017 to April 2019,according to the operation measures of different groups.130 patients in the control group received pneumatic ballistic lithotripsy,and 140 patients in the study group re‐ceived holmium laser lithotripsy.Compare two groups of gravel effect and operation indicator.Results Postoperative,the study group had 135 cases of one-time success of gravel,stone row of net rate was 95.71%,better than the control group in 110 and 80.77%,the difference was statistically significant(P<0.05).The team hematuria time,operation time and hospital stay in study group were shorter than the control group,the difference was statistically significant(P<0.05).Conclusion In the treatment of ureteral calculi patients to choose a more significant effect of holmium laser lithotripsy,gravel effect,can promote patients and trauma is small,can make patients recover,worthy of clinical application.

关 键 词：输尿管结石 气压弹道碎石术 钬激光碎石术 碎石效果 手术指标 

分 类 号：R699.4[医药卫生—泌尿科学]