不同腔内碎石方法在治疗妊娠期输尿管结石的疗效与安全性比较  

Efficacy and safety of different methods in the treatment of ureteral calculiin pregnancy

作　　者：刘明生[1] 周红庆[1] 张小德[1] 邓体斌 许陈祥[1] 邵涛[1] 吴尧[1] 谢平波[1] 朱少杰[1] 杨琼秀 翟云春 

机构地区：[1]云南省曲靖市第一人民医院泌尿外科二病区,云南曲靖655000

出　　处：《微创泌尿外科杂志》2015年第5期283-285,共3页Journal of Minimally Invasive Urology

摘　　要：目的:探讨经尿道输尿管镜钬激光碎石术(HL)与气压弹道碎石术(PL)在治疗妊娠期输尿管结石的疗效及安全性。方法:回顾性分析78例妊娠期输尿管结石患者临床资料,其中HL41例,PL37例。结果:HL组在碎石时间及一次结石清除率优于PL组(P<0.01),但术后平均住院天数、术后早产率及并发症发生率两组差异无统计学意义(P>0.05)。结论:HL与PL均是妊娠期输尿管结石较为安全的方法,但HL更为高效,可作为首选。Objectives To ivaluate the efficacy and safety of holmium laser lithotripsy(HL) and pneumatic lithotripsy(PL) in the treatment of ureteral calculi in pregnancy.Methods:Seventy-eight cases of ureteral calculi treated with ureteral calculi lithotripsy were retrospectively analyzed,including 41 cases of HL,and 37 cases of PL.Results:The HL group was superior to that of PL in the time of lithotripsy and the stone removal rate(P<0.01),but there were no significant differences in the average length of hospital stay and the incidence of complications after operation between HL group and PL group(P>0.05).Conclusions:Both HL and PL are relatively safe methods for ureteral calculi in pregnancy.However.HL is more effective and can be used as the first choice.

关 键 词：输尿管镜 输尿管结石 钬激光 气压弹道碎石 妊娠期 

分 类 号：R714.258[医药卫生—妇产科学]