钬激光碎石术与体外冲击波碎石术治疗输尿管结石的疗效比较

目的比较钬激光碎石术与体外冲击波碎石术治疗输尿管结石的疗效,以期为临床输尿管结石的治疗方法的选择提供理论依据。方法选择2011年1月~2012年1月在我院进行手术治疗的输尿管结石患者60例为研究对象。其中30例输尿管结石患者采用钬激光碎石术治疗,设立为Ⅰ组,其余30例患者采用体外冲击波碎石术(ESWL)治疗,设立为Ⅱ组。观察并记录两组患者的手术时间,术后1个月结石排净率及并发症情况。结果Ⅰ组手术时间明显短于Ⅱ组,Ⅱ组术后1个月结石排净率达90%,明显高于Ⅱ组,两组差异有统计学意义(P<0.05)。Ⅰ组的输尿管穿孔、感染、黏膜撕脱、结石上移的例数明显少于Ⅱ组,差异有统计学意义(P<0.05)。结论钬激光碎石术治疗输尿管结石疗效明显优于体外冲击波碎石术,具有手术时间短、排石率高、并发症少等优点,值得在临床推广。

Comparison of the efficacy of holmium laser lithotripsy and extracorporeal shock wave lithotripsy for ureteral stones

Objective To compare holmium laser lithotripsy extracorporeal shock wave lithotripsy for ureteral stones efficacy, Of choice for the clinical treatment of ureteral stones provide a theoretical basis. Methods From January 2011 to January 2012 in our hospital for surgical treatment of ureteral calculi in 60 patients for the study. 30 cases of ureteral stones in patients with holmium laser lithotripsy, set up for group Ⅰ , and the remaining 30 patients with extracorporeal shock wave lithotripsy （ESWL） treatment set up for group Ⅱ. Observed and recorded the operation time of the two groups of patients, 1 month after stone-free rate and complications. Results Operative time of group Ⅰ was significantly shorter than group Ⅱ , group Ⅰ after a stone clearance rate of 90%,was significantly higher than in group Ⅱ, there was a significant difference between the two groups （P 〈 0.05）. Group Ⅰ of ureteral perforation, infection, mueosal avulsion, stones shift the number of cases was significantly less than in group Ⅱ ,the difference was statistically significant （P 〈 0.05）. Conclusion The holmium laser lithotripsy for ureteral stones efficacy is superior to extracorporeal shock wave lithotripsy, with shorter operative time, row of stone rate, fewer complications, worthy of promotion.