CAJ | 학술논문

目的：比较输尿管镜钬激光碎石术（holmium laser lithotfipsy，HL）与气压弹道碎石术（pneumatic lithotripsy，PL）治疗输尿管结石的临床疗效。方法总结应用输尿管镜技术治疗165例输尿管结石患者的临床材料，其中钬激光碎石术有81例，气压弹道碎石术有84例。结果钬激光碎石术碎石总有效率为96．3％，高于气压弹道碎石术的85．7％（ P＜0．05）；钬激光碎石术平均手术时间为（26．1±3．5）min，短于气压弹道碎石术的（38．3±5．2）min （P＜0．05）。结论钬激光碎石术的有效率和手术时间均优于气压弹道碎石术。钬激光碎石是治疗输尿管结石的一种安全高效的方法。
목적：비교수뇨관경화격광쇄석술（holmium laser lithotfipsy，HL）여기압탄도쇄석술（pneumatic lithotripsy，PL）치료수뇨관결석적림상료효。방법총결응용수뇨관경기술치료165례수뇨관결석환자적림상재료，기중화격광쇄석술유81례，기압탄도쇄석술유84례。결과화격광쇄석술쇄석총유효솔위96．3％，고우기압탄도쇄석술적85．7％（ P＜0．05）；화격광쇄석술평균수술시간위（26．1±3．5）min，단우기압탄도쇄석술적（38．3±5．2）min （P＜0．05）。결론화격광쇄석술적유효솔화수술시간균우우기압탄도쇄석술。화격광쇄석시치료수뇨관결석적일충안전고효적방법。
Objective To compare the clinical efficacy of endoscopic holmium laser lithotfipsy ( HL) and pnumatic lithotripsy ( PL) for ureteral stones .Methods The data of 165 patients who underwent HL ( 81 cases ) and PL ( 84 cases ) for the treatment of ureteral stones during January 2011 to May 2013 were retrospectively analyzed .Results The overall efficiency of stone fragmentation of Hl was higher than that of PL(96.3%vs 85.7%,P<0.05).The average operation time was shorter for HL than for PL [(26.1 ±3.5) min vs.(38.3 ±5.2) min,P<0.05].Conclusions HL has its advantage over PL in high efficiency of stone fragmentation and low com-plication rate ,which is an effective and safe treatment for ureteral stones .