输尿管镜钬激光和体外冲击波碎石术处理输尿管上段结石的疗效比较-现代医学

输尿管镜钬激光和体外冲击波碎石术处理输尿管上段结石的疗效比较

作者：傅军红

单位：温州医学院附属东阳医院

分类号：

出版年·卷·期（页码）：2011··第四期（0-）

摘要：

目的：比较输尿管镜钬激光碎石术与体外冲击波碎石术(ESWL)治疗输尿管上段结石的有效性和安全性。方法：采用输尿管镜钬激光碎石术治疗输尿管上段结石72例，ESWL治疗输尿管上段结石54例，比较两组碎石成功率、结石排净率、手术时间和并发症发生率指标的差异。结果：输尿管镜钬激光碎石术治疗平均手术时间为40±9min，ESWL治疗平均时间为42±8min（P＞0.05）；输尿管镜钬激光碎石术碎石成功率为95.83%，高于ESWL组的83.33%（P＜0.05）；输尿管镜钬激光碎石术3个月后结石清除率为91.67％，高于ESWL组的74.07%（P＜0.05）；输尿管镜钬激光碎石术组并发症发生率为5.56%(4/72)，ESWL组为3.70%（2/54）（P＞0.05）。结论：输尿管镜钬激光碎石术治疗输尿管上段结石疗效优于ESWL。

Objective：To compare the safety and efficacy of ureteroscopy with holmium：YAG laser lithotripsy and extracorporeal shock wave lithotripsy (ESWL) for ureteral upper calculi. Methods：72 patients underwent ureteroscopy with holmium:YAG laser lithotripsy，54 patients underwent ESWL, The operation time,stone-free rate and incidence rate of complications were compared between the 2 groups. Results：The mean operation time of ureteroscopy with holmium：YAG laser lithotripsy for calculi was 40±9min，which was 42±8min with ESWL（P＞0.05）. The Success rate was 95.83% for ureteroscopy with holmium:YAG laser lithotripsy. It was higher than 83.33% with ESWL (P<0.05). The stone-free rate after 3 months was 91.67% for ureteroscopy with holmium:YAG laser lithotripsy. Itwas higher than 74.07% with ESWL (P<0.05). The complication rate was 5.56% (4/72) in the group of ureteroscopy with holmium:YAG laser lithotripsy, which was 3.70% with ESWL（2/54）（P＞0.05）.Conclusions：Our study demonstrates that ureteroscopy with holmium:YAG laser lithotripsy for upper calculi is more effective than ESWL.

参考文献：

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录