摘要
目的比较输尿管镜下气压弹道碎石术与钬激光碎石术治疗输尿管上段结石的临床效果。方法选取2013年7月~2017年7月在我院确诊收治的输尿管上段结石患者506例,随机分成两组,钬激光组256例和气压弹道组250例,比较两组患者碎石成功率、排净率、并发症、手术时间及住院时间等。结果钬激光组碎石成功率为96.88%,高于气压弹道组的86.40%,差异有统计学意义(P<0.05);术后4周复查,钬激光组结石排净率为96.88%,气压弹道组为83.60%,差异有统计学意义(P<0.05);钬激光组并发症发生率为10.16%,低于气压弹道组的21.60%,差异有统计学意义(P<0.05);而手术时间、住院时间等两组比较差异无统计学意义(P>0.05)。结论钬激光碎石术的有效率和安全性优于气压弹道碎石术。钬激光碎石是治疗输尿管上段结石的一种安全、高效的方法,值得临床推广。
Objective To compare the efficacy of Holmium：YAG laser and pneumatic lithotripsy in the treatment of upper-ureteral calculi.Methods From July 2013 to July 2017,506 patients with upper-ureteral calculi were randomly divided into two groups,256 cases in holmium laser lithotripsy group and 250 cases in pneumatic lithotripsy group.The successful rate,stone free rate,complications,operative time and hospital stays were compared between the two groups. Results The effective rate of holmium lithotripsy group was 96.88%,which was higher than 86.40% of the pneumatic lithotripsy group,and the difference was statistically significant （P〈0.05）.After 4 weeks of postoperative review,the stone free rate of lithotripsy was 96.88%,and the pressure ballistic lithotripsy was 83.60%,and the difference was statistically significant （P〈0.05）.The complication rate of holmium lithotripsy group was 10.16%,lesser than 21.60% of the pressure ballistic-lithotripsy group,and the difference was statistically significant（P〈0.05）.There was no significant difference between operation time,hospital stays.Conclusion The efficiency and safety of holmium laser lithotripsy are superior to pneumatic lithotripsy.Holmium lithotripsy is a safe and effective method for treating ureteral calculi,and worthy of being widely applied in clinic.
出处
《中国当代医药》
2018年第4期73-76,共4页
China Modern Medicine
