摘要
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。方法选择2011年1月至2018年1月在本院诊治的60例输尿管结石患者临床资料,按不同术式分两组,每组30例,对照组行钬激光碎石术,观察组行体外冲击波碎石术,比较两组手术时间、结石清除率及并发症。结果观察组手术时间[(56.41±6.23)min、(39.84±4.62)min]均比对照组长(P<0.05);观察组结石径长>1 cm的结石总清除率62.50%比对照组85.71%低(P<0.05)。结论两种术式均能安全、有效的治疗输尿管结石;建议结石径长≤1 cm的患者选择体外冲击波治疗,术时短且清除率高,径长>1cm的患者选择钬激光碎石术治疗,结石清除较彻底。
Objective To compare the efficacy of holmium laser lithotripsy and extracorporeal shock wave lithotripsy in the treatment of ureteral calculi.Methods The clinical data of 60 patients with ureteral calculi treated in our hospital from January 2011 to January 2018 were divided into two groups according to different surgical methods,30 cases in each group.Holmium laser lithotripsy was performed in the control group,and extracorporeal shock wave lithotripsy was performed in the observation group.The operation time,stone clearance rate and complications were compared between the two groups.Results The operation time of the observation group[(56.41±6.23)min,(39.84±4.62)min]was longer than that of the control group(P<0.05).The total clearance rate of stones with a diameter of>1 cm in the observation group was 62.50%lower than 85.71%of the control group(P<0.05).Conclusion Both procedures can safely and effectively treat ureteral calculi.It is recommended that patients with calculus diameter≤1cm choose extracorporeal shock wave therapy.Patients with short operation time and high clearance rate,patients with a diameter of>1cm should choose holmium laser lithotripsy.Stone removal is more thorough.
作者
金一
Jin Yi(Liaocheng Hospital of Traditional Chinese Medicine,Liaocheng,Shandong,252300,China)
出处
《当代医学》
2019年第5期88-90,共3页
Contemporary Medicine
关键词
输尿管结石
钬激光
体外冲击波
碎石术
Ureteral calculi
Holmium laser
Extracorporeal shock wave
Lithotripsy
