气压弹道碎石术与钬激光碎石术治疗输尿管结石的对比研究
[Comparative study of pneumatic lithotripsy and holmium laser lithotripsy for ureteral stones].
作者信息
Li Xue-Chao, Liu Ying, Yang Jiang-Gen, Zhang Dao-Heng
机构信息
Department of Urology, Shenzhen People's Hospital, Second Clinical Medical College, Jinan University, Shenzhen 518020, China.
出版信息
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2005 Oct;30(5):601-3.
OBJECTIVE
To compare the efficacy and safety of endoscopic laser lithotripsy (LL) and endoscopic pneumatic lithotripsy (PL) for ureteral stones.
METHODS
We retrospectively analyzed the clinical data of 415 patients with ureteral calculi treated with endoscopic laser lithotripsy (n = 214 ) and pnumatic lithotripsy (n = 201 ).
RESULTS
The overall successful fragmentation rate of all ureteral stones in a single session of the LL group was higher than that of the PL group (95% vs. 69%, P < 0.01). The average stonefree time of the LL group was shorter than that of the PL group (18 days vs. 31 days, P < 0.01). No complications such as perforation during the operation were observed in the LL group whereas 3 perforations occurred in the PL group.
CONCLUSION
LL has its advantage over PL in its better clinical effect for the stone fragmentation and low complication rate and is an effective and safe treatment for ureteral stones.
目的
比较输尿管结石的内镜激光碎石术（LL）和内镜气压弹道碎石术（PL）的疗效及安全性。
方法
回顾性分析415例接受内镜激光碎石术（n = 214）和气压弹道碎石术（n = 201）治疗的输尿管结石患者的临床资料。
结果
LL组单次治疗所有输尿管结石的总体成功碎石率高于PL组（95% 对69%，P < 0.01）。LL组的平均无石时间短于PL组（18天对31天，P < 0.01）。LL组术中未观察到穿孔等并发症，而PL组发生了3例穿孔。
结论
LL在结石破碎方面临床效果更好、并发症发生率低，相对于PL具有优势，是一种治疗输尿管结石有效且安全的方法。
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