| 彭成 杨节 安森胜 周锋 周克亮.输尿管镜下钬激光碎石与体外冲击波碎石术治疗输尿管结石的比较研究[J].,2016,16(6):1095-1097 |
| 输尿管镜下钬激光碎石与体外冲击波碎石术治疗输尿管结石的比较研究 |
| Comparison Study of HolmiumLaser Lithotripsy under Ureteroscopy andExtracorporeal Shock Wave Lithotripsy in Treatment of Ureteral Calculi |
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| DOI： |
| 中文关键词: 钬激光碎石 体外冲击波碎石 输尿管结石 |
| 英文关键词: Holmiumlaser lithotripsy Extracorporeal shock wave lithotripsy Ureteral calculi |
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| 中文摘要: |
| 目的：研究输尿管镜下钬激光碎石与体外冲击波碎石术治疗输尿管结石的效果。方法：选取2013年1 月到2015 年1 月我院
收治的输尿管结石患者100 例，根据手术方法不同将患者分为A 组（n=56例，直径≥ 1 cm者23例，直径＜1 cm者33 例）和B 组
（n=44 例，直径≥ 1 cm者17 例，直径＜1 cm者27 例），其中A 组给予输尿管镜下钬激光碎石治疗，B 组给予体外冲击波碎石术治
疗，比较两组手术时间、结石排净、术后并发症。结果：A 组直径≥ 1 cm 和＜1 cm者手术时间为（55.9± 1.6）min 和（38.9± 0.7）min
显著低于B组的（72.8± 1.4）min 和（53.6± 0.7）min（P＜0.05）；A 组直径≥ 1 cm 者结石排净率为87%显著高于B 组的58.8%
（P＜0.05），A 组直径＜1 cm者90.9%与B组88.9%相近（P＞0.05）；两组并发症发生率比较差异无统计学意义（P＞0.05）。结论：输
尿管镜下钬激光碎石相比体外冲击波碎石术治疗输尿管结石手术时间短，对于直径≥ 1 cm者效果较好。 |
| 英文摘要: |
| Objective:To study the effect of holmium laser lithotripsy under ureteroscopy and extracorporeal shock wave
lithotripsy in treatment of ureteral calculi.Methods:100 patients with ureteral calculi who were treated in our hospital from January 2013
to January 2015 were selected, they were divided into groupA (n=56, 23 patients ureteral calculi diameter ≥ 1 cm, 33 patients ureteral
calculi diameter <1 cm) and group B (n=44, 17 patients ureteral calculi diameter≥ 1 cm, 27 patients ureteral calculi diameter<1 cm)
according to the different surgery method, group A was treated with holmium laser lithotripsy under ureteroscopy, group B was treated
with extracorporeal shock wave lithotripsy, then compared the operation time, calculi clear rate and the incidence of complications in two
groups.Results:Operation time of patients ureteral calculi diameter ≥ 1 cmand < 1 cmin group A were (55.9± 1.6) min and (38.9± 0.7)
min, which were significantly shorter than (72.8± 1.4) min and (53.6± 0.7) min in group B(P<0.05); calculi clear rate of patients ureteral
calculi diameter ≥ 1cm in group A was 87%, which was significantly higher than 58.8%in groupB (P<0.05), while the patients ureteral
calculi diameter < 1 cmin group A was 90.9%, which was similar with 88.9%in group B(P>0.05); The incidence of complications in two
groups was not statistically significant (P>0.05).Conclusion:Operation time of holmium laser lithotripsy under ureteroscopy is shorter
than extracorporeal shock wave lithotripsy in treatment of ureteral calculi, and it has better effect for those patients ureteral calculi
diameter ≥ 1 cm. |
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