摘要
目的比较经输尿管镜电子弹道碎石术与双频激光碎石术治疗肾结石和输尿管结石的疗效和安全性。方法总结应用输尿管镜技术治疗107例输尿管结石和肾结石患者的临床资料,其中电子弹道碎石术(EKL)54例,双频激光碎石术(U100L)53例。结果双频激光碎石术单次手术碎石率为90.6%,高于电子弹道碎石术的75.9%,P<0.01;双频激光碎石术平均结石排净时间为19d,明显少于电子弹道碎石术的35d,P<0.01;双频激光碎石组无明显并发症发生,电子弹道碎石组发生输尿管穿孔损伤3例。结论双频激光碎石术是治疗肾输尿管结石的一种安全、有效的方法。
Objective: To compare the efficacy and safety of endoscopic electronic lithotripsy (EKL) and endoscopic frequency-doubled double pulse laser lithoripsy (U100L) for pelvic and ureteral stones. Methods: From Jan. 2002 to Jun. 2003, 107 consecutive patients underwent endoscopic lithotripsy either with the Germany electronic lithotripter (54 cases) or with the Germany frequency-doubled double pulse laser lithotripter (53 cases) for the treatment of pelvic and ureteral stones. Results: The single session overall successful rate of stone fragmentation of U100L was higher than that of EKL (90.6% vs .75.9%, P<0.01%), The average stonefree time was shorter for U100L (19 days vs. 35 days, P<0.01), No major complication has been observed in U100L whereas 3 perforations were encountered in EKL. Conclusions: U100L is effective and safe treatment for pelvic and ureteral stones.
出处
《中国内镜杂志》
CSCD
2004年第5期33-35,38,共4页
China Journal of Endoscopy
