摘要
目的:比较输尿管气压弹道碎石术、输尿管钬激光碎石术及开放式输尿管切开取石术对输尿管上段结石的治疗效果,探讨治疗输尿管上段结石的最佳方法。方法:回顾性分析150例输尿管上段结石患者临床资料,其中45例采用输尿管镜气压弹道碎石术(Pneumatic lithotripsy,PL组),51例采用输尿管镜钬激光碎石术(Laser lithotripsy,LL组),54例采用开放式输尿管切开取石术(Ureterolithotomy,UL组)治疗,分别记录三组结石清除率、并发症及是否需要后续治疗,并进行统计学分析,比较三种手术方法的治疗效果。结果:术后1周,三组结石清除率分别为:PL组80.0%(36/45),LL组94.1%(48/51),UL组100%(54/54)。LL组及UL组结石清除率明显高于PL组,差异有统计学意义(P<0.05);LL组及UL组结石清除率差异无统计学意义(P>0.05)。结论:输尿管钬激光碎石术创伤小,清石率高,并发症少,是治疗输尿管上段结石一种安全有效的微创治疗方法。
Objective：To compare the therapeutic effects of pneumatic lithotripsy, ureteroscopic Holmium laser lithotripsy, ureterolithotomy, and to explore the best method for upper ureteral calculi. Methods：The data of 150 patients with upper ureteral calculi were retrospectively reviewed. 0f which, 45 cases were managed with pneumatic lithotripsy （PL group）, 51 cases with ureteroseopic Holmium laser lithotripsy （LL group） and 54 eases with ureterolithotomy （UL group）. Among the three kinds of surgical procedures, the stone clearance rate, the complications and the need for follow up treatment were recorded, statistical analysis was carried out, and the effect of three surgical methods was compared. Results：The stone free rates of the PL, LL, and UL group one week after operation were 80.0%（36/45）, 94.1% （48/51） , and 100% （54/54）, respectively. The stone free rates of LL and UL were significantly higher than that of PL （P〈0.05）. The stone free rate between LL and UL showed no significant difference （P〉0.05）. Conclusions： Laser lithotripsy is a safe, efficient and microinvasive management for upper-ureteral calculi with minimal injuries, high stone free rates and less complications.
出处
《临床泌尿外科杂志》
北大核心
2009年第6期448-450,共3页
Journal of Clinical Urology
