摘要
目的比较输尿管镜下U100激光碎石术和气压弹道碎石术治疗输尿管上段结石的疗效及安全性。方法选取2013年12月-2018年9月柳州市人民医院收治的输尿管上段结石患者100例作为研究对象,按照随机数字表法分为观察组和对照组,各50例。对照组行输尿管镜下气压弹道碎石术,观察组行输尿管镜下U100激光碎石术,比较两组手术时间、单次碎石成功率、结石彻底清除率、手术并发症发生率,并分析单次碎石失败原因。结果观察组单次碎石成功率及结石清除率为90.00%、86.00%,高于对照组的68.00%、60.00%(P<0.05);观察组手术时间为(35.84±5.34)min,短于对照组的(55.08±9.78)min(P<0.05);观察组并发症发生率为12.00%,低于对照组的30.00%(P<0.05);两组碎石失败的主要原因是碎石过程中结石上移至肾脏,术中未能找到结石所致。结论输尿管镜下U100激光碎石具有手术时间短、高效、安全及并发症少等优点,是治疗输尿管上段结石的有效手段。
Objective To compare the efficacy and safety of ureteroscopic U100 laser lithotripsy and pneumatic lithotripsy in the treatment of upper ureteral calculi.Methods A total of 100 patients with upper ureteral calculi admitted to the People's Hospital of Liuzhou from December 2013 to September 2018 were selected as the research objects and divided into observation group and control group according to the random number table method,with 50 cases in each group.The control group was treated with ureteroscopic pneumatic ballistic lithotripsy,and the observation group was treated with ureteroscopic U100 laser lithotripsy.The operation time,single lithotripsy success rate,stone clearance rate and incidence of surgical complications were compared between the two groups,and the causes of single lithotripsy failure were analyzed.Results The success rate of single lithotripsy and stone clearance rate in the observation group were 90.00%and 86.00%,which were higher than 68.00%and 60.00%in the control group(P<0.05).The operation time of the observation group was(35.84±5.34)min,which was shorter than(55.08±9.78)min of the control group(P<0.05).The incidence of complications in the observation group was 12.00%,which was lower than 30.00%in the control group(P<0.05).The main reason for the failure of crushed stone in the two groups was that the stones moved up to the kidney during the lithotripsy,and the stones were not found during the operation.Conclusion The ureteroscopic U100 laser lithotripsy has the advantages of short operation time,high efficiency,safety and few complications,which is an effective method for the treatment of upper ureteral calculi.
作者
覃庆平
文斌
王伟
QIN Qing-ping;WEN Bin;WANG Wei(Department of Urinary Surgery,Liuzhou Traditional Chinese Medical Hospital,Liuzhou 545001,Guangxi,China;Department of Urinary Surgery,the People's Hospital of Liuzhou,Liuzhou 545006,Guangxi,China)
出处
《医学信息》
2023年第6期89-92,共4页
Journal of Medical Information
基金
广西壮族自治区卫健委科研课题(编号:Z2010059)。
