中国医药
中國醫藥
중국의약
CHINA MEDICINE
2012年
11期
1421-1423
,共3页
肾结石%经皮肾镜%钬激光碎石%赶声气压弹道碎石
腎結石%經皮腎鏡%鈥激光碎石%趕聲氣壓彈道碎石
신결석%경피신경%화격광쇄석%간성기압탄도쇄석
Kid calculi%Percutaneous nephrolithotomy%Stone-crushing using YAG laser%Ultrasonic pneumatic lithotripsy
目的 探讨经皮肾镜钬激光与EMS超声气压弹道碎石清石系统治疗肾结石的疗效及并发症.方法 回顾性分析我院2009年2月至2010年8月收治的80例肾结石患者临床资料,其中38例行经钬激光碎石,42例行EMS超声气压弹道碎石治疗,比较经皮肾镜钬激光与EMS超声气压弹道碎石治疗肾结石的疗效及并发症发生情况.结果 钬激光组结石清除率89.5％(34/38)、一期碎石成功率97.4％(37/38),研究组结石清除率为83.3％ (35/42)、一期碎石成功率为95.2％(40/42),组间差异均无统计学意义(P＞0.05)；研究组患者的手术时间为(2.5±1.1)h,明显短于钬激光组[(3.1±0.9)h,P＜0.05].钬激光组有1例合并术后感染,研究组1例术后出血,其余均未发生其他严重并发症.结论 经皮肾镜钬激光治疗肾结石与EMS超声气压弹道碎石清石系统治疗肾结石均具有较好的治疗效果,是治疗肾结石的较好手术方法.
目的 探討經皮腎鏡鈥激光與EMS超聲氣壓彈道碎石清石繫統治療腎結石的療效及併髮癥.方法 迴顧性分析我院2009年2月至2010年8月收治的80例腎結石患者臨床資料,其中38例行經鈥激光碎石,42例行EMS超聲氣壓彈道碎石治療,比較經皮腎鏡鈥激光與EMS超聲氣壓彈道碎石治療腎結石的療效及併髮癥髮生情況.結果 鈥激光組結石清除率89.5％(34/38)、一期碎石成功率97.4％(37/38),研究組結石清除率為83.3％ (35/42)、一期碎石成功率為95.2％(40/42),組間差異均無統計學意義(P＞0.05)；研究組患者的手術時間為(2.5±1.1)h,明顯短于鈥激光組[(3.1±0.9)h,P＜0.05].鈥激光組有1例閤併術後感染,研究組1例術後齣血,其餘均未髮生其他嚴重併髮癥.結論 經皮腎鏡鈥激光治療腎結石與EMS超聲氣壓彈道碎石清石繫統治療腎結石均具有較好的治療效果,是治療腎結石的較好手術方法.
목적 탐토경피신경화격광여EMS초성기압탄도쇄석청석계통치료신결석적료효급병발증.방법 회고성분석아원2009년2월지2010년8월수치적80례신결석환자림상자료,기중38례행경화격광쇄석,42례행EMS초성기압탄도쇄석치료,비교경피신경화격광여EMS초성기압탄도쇄석치료신결석적료효급병발증발생정황.결과 화격광조결석청제솔89.5％(34/38)、일기쇄석성공솔97.4％(37/38),연구조결석청제솔위83.3％ (35/42)、일기쇄석성공솔위95.2％(40/42),조간차이균무통계학의의(P＞0.05)；연구조환자적수술시간위(2.5±1.1)h,명현단우화격광조[(3.1±0.9)h,P＜0.05].화격광조유1례합병술후감염,연구조1례술후출혈,기여균미발생기타엄중병발증.결론 경피신경화격광치료신결석여EMS초성기압탄도쇄석청석계통치료신결석균구유교호적치료효과,시치료신결석적교호수술방법.
Objective To discuss the treatment effect of stone-crushing using YAG laser and ultrasonic pneumatic lithotripsy in the treatment of kid calculi.Methods The clinical data of 80 patients with kidney stones who were treated in our hospital from February 2009 to August 2010 were retrospectively analyzed.38 cases received holmium laser lithotripsy and the 42 cases received ultrasonic pneumatic lithotripsy therapy.The efficacy and the complications of the two groups were observed.Results The stone clearance rate of holmium laser group was 89.5％ (34/38) and gravel success rate was 97.4％ (37/38).The stone clearance rate of study group was 83.3％(35/42) and gravel success rate was 95.2％ (40/42) ; there was no significance difference between the two groups (P ＞ 0.05).The treatment time of study group was (2.5 ± 1.1) h,which was shorter than that of the holmium laser group (3.1 ± 0.9)h(P ＜ 0.05).One case had postoperative infection in holmium laser group and one case had postoperative hemorrhage in ultrasonic pneumatic lithotripsy group.No other severe complications happened.Conclusion Both YAG laser and ultrasonic pneumatic lithotripsy under percutaneous nephrolithotomy have good treatment effect and they are good operation methods in the treatment of kid calculi.
