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目的:对钬激光与超声碎石术治疗输尿管结石的临床疗效进行比较分析。方法:对我院泌尿外科收治输尿管结石住院患者,将随机原则分为钬激光组与超声气压弹道组,术后评价两组患者一次碎石成功率及结石排尽率,并统计两组的平均碎石时间以及住院天数,同时分析两组并发症情况。结果:钬激光组术后住院天数、平均碎石时间、一次碎石成功率、结石排尽率明显优于超声气压弹道组,且钬激光组并发症的发生率明显低于超声气压弹道组(P<0.05)。结论:经输尿管镜钬激光碎石术治疗输尿管结石安全、高效、微创,可作为输尿管结石的首先治疗方法。
Objective: To compare the clinical effects of holmium laser and ultrasonic lithotripsy in the treatment of ureteral calculi. Methods: The hospitalized urolithiasis patients were divided into two groups: the holmium laser group and ultrasound pneumatic ballistic group. The success rates of the stones in one group and the rate of stones were evaluated postoperatively. The average Gravel time and hospitalization days, at the same time analyze the two groups of complications. Results: The postoperative hospital stay, average gravel time, the success rate of primary gravel, the rate of stone exhaustion in the holmium laser group were significantly better than those in the ultrasound pneumatic ballistic group, and the incidence of complications in the holmium laser group was significantly lower than that in the ultrasound pneumatic ballistic group P <0.05). Conclusion: Ureteroscopic holmium laser lithotripsy for the treatment of ureteral calculi is safe, effective and minimally invasive, which can be used as the first treatment for ureteral calculi.