钬激光碎石术与气压弹道碎石术治疗输尿管上段结石疗效对比

目的: 比较钬激光碎石术与气压弹道碎石术治疗输尿管上段结石的疗效和安全性。方法: 采用输尿管镜下钬激光碎石术(173例)与气压弹道碎石术(144例)治疗输尿管上段结石,对2组进行疗效和安全性方面的比较。结果: 一次性碎石成功率钬激光组为96.5%,气压弹道组为86.1%,2组一次性碎石成功率差异有统计学意义(P < 0.01);手术时间钬激光组显著短于气压弹道组(P < 0.01);住院时间2组比较差异无统计学意义(P > 0.05);术后3 d复查尿路平片,结石排尽率钬激光组为98.8%,气压弹道组为92.7%,2组结石排尽率差异有统计学意义(P < 0.05)。气压弹道组出现输尿管穿孔3例。结论: 治疗输尿管上段结石钬激光碎石术较气压弹道碎石术具有一定的优势,是一种安全有效的碎石方法。

Comparison of Holmium:YAG laser and pneumatic lithotripsy in treatment of upper-ureteral calculi

Objective:To compare the efficacy and safety of Holmium:YAG laser and pneumatic lithotripsy in the treatment of upper-ureteral calculi.Methods:The clinical data of 317 patients with upper-ureteral calculi who had undergone ureteroscopic lithotripsy with Holmium:YAG laser or pneumatic lithotripter from June 2007 to June 2010 were analyzed retrospectively and the efficacy and safety were compared.Results:The one-time success rate was 96.5% in the holmium laser group and 86.1% in the pneumatic lithotripter gro...