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。方法回顾性分析2012年1月-2014年1月在我院行钬激光碎石术治疗的50例输尿管结石患者的临床资料，设立为观察组，结石单发40例，多发10例。左侧27例，右侧21例，双侧2例。结石大小0.3-2.1 cm。另选择同期行体外冲击波碎石术治疗的50例输尿管结石患者作为对照组，结石单发41例，多发9例。左侧25例，右侧22例，双侧3例。结石大小0.4-2.2cm。比较两组患者的手术时间、3个月的结石排净率及并发症情况。采用SPSS12.0统计学软件对数据进行分析，其中结石排净率等计数资料组间比较采用卡方检验，手术时间等计量资料组间比较采用t检验。结果观察组输尿管结石患者的平均手术时间明显短于对照组，差异有统计学意义（P＜0.05）。观察组结石≥1 cm的输尿管结石患者3个月结石排净率明显高于对照组，差异有统计学意义（P＜0.05）。结论钬激光碎石术较体外冲击波碎石术治疗输尿管结石具有手术时间短、排石成功率高、并发症少等优点，值得广泛推广和应用。

The efficacy comparison of holmium laser lithotripsy and extracorporeal shock wave lithotripsy for ureteral calculi

Objective To compare the efficacy of ureteral calculi with holmium laser lithotripsy extracorporeal shock wave lithotripsy. Methods A retrospective analysis from January 2012 to January 2014 in our hospital ,holmium laser lithotripsy of ureteral calculi were 50 cases, the establishment of the observation group, stones single 40 cases, 10 cases of multiple. On the left side in 27 cases, 21 cases on the right side, bilateral two cases. Stone size 0.3- 2.1cm. Choose another same period of extracorporeal shock wave lithotripsy 50 cases as control group , stones single 41 cases, 9 cases of multiple. On the left side in 25 cases, the right side in 22 cases, bilateral in 3 cases. Stone size 0.4- 2.2 cm. The operative time stone clearance rate of three-month and complications were compared between two groups. Used SPSS12.0 statistical software for data analysis, which counted stone clearance rate and other data between groups using chi-square test comparing surgical time measurement data groups were compared using t Test. Results The mean oper-ative ureteral calculi in patients in the observation group was significantly shorter than the control group, the difference was statistically significant （P〈0.05）. Observation group stones ≥ 1 cm in patients with ureteral calculi net 3 months stone free rate was significantly higher than the control group, the difference was statistically significant （P〈0.05）. Conclusion Holmium laser lithotripsy extracorporeal shock wave lithotripsy over the treatment of ureteral calculi with shorter operative time, a row of stone success rate , fewer complications, should be popularized and applied.