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目的:探讨输尿管镜碎石术(URL)治疗输尿管结石的疗效。方法:分别采用气压弹道碎石106例,钬激光碎石100例,并总结各自优缺点。结果:气压弹道组的输尿管上、中、下段碎石成功率分别为70%、93%和95%;钬激光组为88%、89%和96%。两组间碎石总成功率差异无统计学意义,但上段钬激光碎石成功率明显高于气压弹道碎石(P<0.05)。结论:输尿管镜下气压弹道碎石术和钬激光碎石术均是治疗输尿管结石的安全、有效方法,其中钬激光碎石术手术适应证更广。严格操作方法是两种手术成功的保证。
Objective: To investigate the efficacy of ureteroscopic lithotripsy (URL) in the treatment of ureteral calculi. Methods: 106 cases of pneumatic lithotripsy, 100 cases of holmium laser lithotripsy, respectively, and summarize their advantages and disadvantages. Results: The success rates of upper, middle and lower ureteral lithotripsy in the pneumatic ballistic group were 70%, 93% and 95%, respectively; 88%, 89% and 96% in the holmium laser group. There was no significant difference in the power of gravel assembly between the two groups, but the success rate of holmium laser lithotripsy in the upper segment was significantly higher than that of pneumatic lithotripsy (P <0.05). Conclusions: Ureteroscopic pneumatic lithotripsy and holmium laser lithotripsy are safe and effective methods for the treatment of ureteral calculi, and the surgical indications of holmium laser lithotripsy are more extensive. Strict operation is the guarantee of successful operation of both.