钬激光碎石术与气压弹道碎石术治疗胆道术后残余结石临床比较

目的比较钬激光碎石术与气压弹道碎石术治疗胆道术后残余结石的临床疗效。方法使用钬激光碎石治疗85例胆道术后残余结石患者;气压弹道碎石术治疗85例胆道术后残余结石患者。结果85例使用钬激光碎石治疗的患者一次手术结石粉碎率为96.4%,平均手术时间为25min。而气压弹道碎石组中上述各项指标分别为78.8%;平均手术时间为49min,均与钬激光碎石组有明显差异。结论钬激光碎石效明显优于气压弹道碎石,是治疗胆道术后残余结石一种安全、有效的碎石方法。

Holmium laser lithotripsy and pneumatic lithotripsy for the treatment of postoperative bile duct stone remnants

Objective To compare holmium laser lithotripsy and pneumatic lithotripsy for the treatment of postoperative bile duct stone remnants.MethodsHolmium laser lithotripsy was used in 85 patients with residual bile duct stones after operation. Pneumatic lithotripsy was used treat 85 patients with residual bile duct stones after operation.Results Eighty-five patients underwent holmium laser lithotripsy with a crushed stone rate of 96.4% and the average operative time of 25 minutes. In the pneumatic lithotripsy group the above-mentioned indicators were 78.8%, 49 minutes, and in the holmium laser lithotripsy group they were significantly different.ConclusionHolmium laser lithotripsy is better than pneumatic lithotripsy in effectiveness , and it is the treatment of choice for postoperative bile duct stone remnants.