中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
13期
72-74
,共3页
气压弹道碎石术%钬激光碎石术%输尿管结石%临床疗效
氣壓彈道碎石術%鈥激光碎石術%輸尿管結石%臨床療效
기압탄도쇄석술%화격광쇄석술%수뇨관결석%림상료효
Pneumatic ballistic lithotripsy%Holmium laser lithotripsy%Ureteral calculi%Clinical effecacy
目的：比较钬激光碎石术与气压弹道碎石术治疗输尿管结石的临床效果和安全性。方法选择2013年11月~2014年12月本院收治的输尿管结石患者120例，随机分为两组，每组60例。观察组采用输尿管镜下钬激光碎石术治疗，对照组采用气压弹道碎石术治疗，比较两组患者的治疗效果和临床安全性。结果钬激光组的碎石成功率为96.7%，结石排净率为96.7%，手术时间为(47.6±9.6)min，住院时间为(2.4±1.2)d；气压弹道组的碎石成功率为93.3%，结石排净率为90.0%，手术时间为(50.3±11.9)min，住院时间为(3.5±1.4)d，两组比较差异有统计学意义(P<0.05)。钬激光组的术后并发症发生率为65.0%，气压弹道组的术后并发症发生率为66.7%，差异无统计学意义(P>0.05)。结论钬激光碎石术治疗输尿管结石的效果显著优于气压弹道碎石术，值得临床推广应用。
目的：比較鈥激光碎石術與氣壓彈道碎石術治療輸尿管結石的臨床效果和安全性。方法選擇2013年11月~2014年12月本院收治的輸尿管結石患者120例，隨機分為兩組，每組60例。觀察組採用輸尿管鏡下鈥激光碎石術治療，對照組採用氣壓彈道碎石術治療，比較兩組患者的治療效果和臨床安全性。結果鈥激光組的碎石成功率為96.7%，結石排淨率為96.7%，手術時間為(47.6±9.6)min，住院時間為(2.4±1.2)d；氣壓彈道組的碎石成功率為93.3%，結石排淨率為90.0%，手術時間為(50.3±11.9)min，住院時間為(3.5±1.4)d，兩組比較差異有統計學意義(P<0.05)。鈥激光組的術後併髮癥髮生率為65.0%，氣壓彈道組的術後併髮癥髮生率為66.7%，差異無統計學意義(P>0.05)。結論鈥激光碎石術治療輸尿管結石的效果顯著優于氣壓彈道碎石術，值得臨床推廣應用。
목적：비교화격광쇄석술여기압탄도쇄석술치료수뇨관결석적림상효과화안전성。방법선택2013년11월~2014년12월본원수치적수뇨관결석환자120례，수궤분위량조，매조60례。관찰조채용수뇨관경하화격광쇄석술치료，대조조채용기압탄도쇄석술치료，비교량조환자적치료효과화림상안전성。결과화격광조적쇄석성공솔위96.7%，결석배정솔위96.7%，수술시간위(47.6±9.6)min，주원시간위(2.4±1.2)d；기압탄도조적쇄석성공솔위93.3%，결석배정솔위90.0%，수술시간위(50.3±11.9)min，주원시간위(3.5±1.4)d，량조비교차이유통계학의의(P<0.05)。화격광조적술후병발증발생솔위65.0%，기압탄도조적술후병발증발생솔위66.7%，차이무통계학의의(P>0.05)。결론화격광쇄석술치료수뇨관결석적효과현저우우기압탄도쇄석술，치득림상추엄응용。
Objective To compare clinical efficacy and safety of holmium laser lithotripsy and pneumatic ballistic lithotripsy in the treatment of ureteral calculi. Methods 120 patients with ureteral calculi treated in our hospital from November 2013 to December 2014 were selected and randomly divided into two groups,each group of 60 cases.The holmium laser lithotripsy was used in observation group,pneumatic ballistic lithotripsy was applied in control group.Ef-ficacy and safety between two groups were compared. Results In holmium laser lithotripsy group,the success rate of lithotripsy was 96.7%,the stone free rate was 96.7%,operation time was(47.6±9.6) min,time of hospitalization was(2.4±1.2) days.In pneumatic ballistic lithotripsy group,the success rate of lithotripsy was 93.3%,the stone free rate was 90.0%,operation time was(50.3±11.9) min,time of hospitalization was(3.5±1.4) days,with statistical difference(P<0.05).In-cidence rate of postoperative complication in holmium laser lithotripsy group was 65.0%,incidence rate of postoperative complication in pneumatic ballistic lithotripsy group was 66.7%,with no statistical difference (P>0.05). Conclusion The efficacy on holmium laser lithotripsy in treatment of ureteral calculi is significantly better than that pneumatic ballistic lithotripsy,it is worthy of clinical promotion and application.
