CAJ | 학술논문

目的：研究对比不同能量的钬激光（Holmium laser，HL）对输尿管上段结石（Upper ureteral calculi， UUC）患者的临床疗效。方法：选取2012年5月-2013年5月本院收治的186例UUC患者，按照随机数字表法将其分为观察组95例和对照组91例。两组均经HL及输尿管镜实施治疗，其中对照组选用60 W能量激光，观察组选用40 W能量激光。观察比较两组碎石成功率和手术情况以及术后并发症的发生情况。结果：观察组的碎石成功率明显高于对照组，未成功率明显低于对照组，差异均有统计学意义（P<0.05）。两组的结石大小比较差异无统计学意义（P>0.05），观察组的手术时间明显少于对照组，差异有统计学意义（P<0.05）。观察组的并发症发生率6.32%与对照组的并发症发生率12.09%比较差异无统计学意义（P>0.05）。结论：临床以HL对UUC患者实施治疗时，选用40瓦能量的钬激光疗效更好，安全性更佳，值得在临床上推广。
목적：연구대비불동능량적화격광（Holmium laser，HL）대수뇨관상단결석（Upper ureteral calculi， UUC）환자적림상료효。방법：선취2012년5월-2013년5월본원수치적186례UUC환자，안조수궤수자표법장기분위관찰조95례화대조조91례。량조균경HL급수뇨관경실시치료，기중대조조선용60 W능량격광，관찰조선용40 W능량격광。관찰비교량조쇄석성공솔화수술정황이급술후병발증적발생정황。결과：관찰조적쇄석성공솔명현고우대조조，미성공솔명현저우대조조，차이균유통계학의의（P<0.05）。량조적결석대소비교차이무통계학의의（P>0.05），관찰조적수술시간명현소우대조조，차이유통계학의의（P<0.05）。관찰조적병발증발생솔6.32%여대조조적병발증발생솔12.09%비교차이무통계학의의（P>0.05）。결론：림상이HL대UUC환자실시치료시，선용40와능량적화격광료효경호，안전성경가，치득재림상상추엄。
Objective:To study and compare clinical efficacy comparison of different energy holmium laser(HL) in the treatment of patients with upper ureteral calculi(UUC).Method:A total of 186 UUC patients from May 2012 to May 2013 in our hospital were selected,they were randomly divided into the observation group for 95 cases and the control group for 91 cases.Both groups were treated by HL and ureteroscopy,the control group was treated with 60-watt energy laser, while the observation group was treated with 40-watt energy laser,the successful rate of lithotripsy,operation situation and the incidence of postoperative complications between the two groups were observed and compared.Result:The success rate of lithotripsy of the observation group was significantly higher than that of the control group,without success rate was significantly lower than the control group,the differences were statistically significant(P<0.05).The observation’s operative time was significantly less than the control group,the difference was statistically significant(P<0.05).The complication rate of the observation group(6.32%)compared with the control group(12.09%)had no significant difference (P>0.05).Conclusion:Clinically treatment for UUC patients with HL,use 40-watt holmium laser energy has better efficacy,which is safety and better,it is worthy of clinical promotion.