摘要
目的比较经皮肾镜钬激光碎石与双导管超声碎石的疗效及安全性。方法回顾性分析2012年10月~2014年12月我院泌尿外科采用经皮肾镜碎石术治疗136例肾结石患者的临床资料,按碎石取石方式不同分为钬激光碎石组（A组66例）和双导管超声碎石组（B组70例）,比较两组患者手术时间、失血量、术后感染发生率、Ⅰ期清石率的差异。结果 A组手术时间为（85.36±21.52）min,术中出血量为（154.18±33.25）m L,术后感染发生率为13.64%,Ⅰ期清石率为90.91%;B组手术时间为（76.15±20.36）min,术中出血量为（85.66±27.68）m L,术后感染发生率为2.86%,Ⅰ期清石率为92.86%。两组手术时间、失血量、术后感染发生率比较差异有统计学意义（P〈0.05）,Ⅰ期清石率比较差异无统计学意义（P〉0.05）。结论经皮肾镜双导管超声碎石术治疗肾结石手术时间短,术后感染、出血并发症少,疗效及安全性优于经皮肾镜钬激光碎石术。
Objective To compare the efficiency and safety of percutaneous nephrolithotripsy with holmium laser and dual probe ultrasonic. Motbods The clinical data of 136 renal calculi cases from Oct 2012 to Dee 2014 in the urologi- cal department of our hospital were retrospectively reviewed, all patients were divided into the holmium laser group （group A 66 eases） and the dual probe ultrasonic group （group B 70 eases） according to the different lithotriptic methods. The differences of the operation time, the blood loss volum,the postoperative infection rate and the one-stage calculi clearance rate between the two groups were compared. Results For the group A, the operation time was （85.36±21.52）min, the blood loss volum was （154.18±33.25）mL, the postoperative infection rate was 13.64%, the one-stage calculi clear ance rate was 90.91%; For the group B, the operation time was （76.15±20.36）min, the blood loss volum was （85.66± 27.68）mL, the postoperative infection rate was 2.86%, the one-stage calculi clearance rate was 92.86%. There was a sig- nificant difference between the two groups in the operation time,the blood loss volum and the postoperative infection rate （P〈0.05）,but no significant difference in the one-stage calculi clearance rate（P〉0.05）. Conclusion Percutaneous nephrolithotomy with dual probe ultrasonic has the advantages of shorter operation time, less complications on postoper- ative infection and blood loss for the treatment of renal calculi, the efficiency and safety of percutaneous nephrolithotripsy with dual probe ultrasonic surpass that with holmium laser.
出处
《中国现代医生》
2015年第21期39-41,共3页
China Modern Doctor
