论文部分内容阅读
目的:比较输尿管镜钬激光碎石术(LL)与体外冲击波碎石术(ESWL)治疗输尿管不同部位的碎石效果.方法:应用LL及ESWL治疗输尿管不同部位结石共240例,其中LL治疗120例,ESWL治疗120例.进行疗效、安全性等方面比较。结果:LL组治疗输尿管丄段结石有效率为87.7%.中下段结石为93.3%。ESWL碎石组治疗输尿管上段结石有效率为93%.中下段结石65%。LL组出现输尿管穿孔3例,结石上移15例。结论:钬激光对肉芽、息肉和输尿管狭窄具有切割和消融作用.治疗输尿管中、下段结石效率高。ESWL是一种非侵人性治疗方式.对人体组织损伤小.治疗输尿管上段结石应首选。
OBJECTIVE: To compare the effect of ureteroscopic holmium laser lithotripsy (LL) and extracorporeal shock wave lithotripsy (ESWL) in the treatment of lithotripsy in different parts of the ureter.Methods: LL and ESWL were used to treat 240 cases of ureter stones in different parts, including LL Cases, ESWL treatment of 120 cases.Efficacy, safety and so on. Results: The effective rate of ureteral calculi in LL group was 87.7%, middle and lower calculi 93.3%. The effective rate of ESWL lithotripsy in the treatment of upper ureteral calculi was 93%, and the middle and lower calculi 65%. LL group showed ureteral perforation in 3 cases, 15 cases of stone metastasis. Conclusion: Holmium laser has the effect of cutting and ablating granulation, polyp and ureteral stricture, and has high efficiency in treating middle and lower ureter stones. ESWL is a non-invasive treatment for human tissue damage. The treatment of upper ureteral stones should be preferred.