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目的:研究Punch碎石钳碎石和U100激光碎石治疗膀胱结石的安全性及有效性,并进一步比较两种碎石方法的有效性差异。方法:回顾性分析82例膀胱结石患者临床资料,其中Punch碎石钳碎石43例,U100激光碎石39例。结果:碎石成功率U100激光组(97.2%)较碎石钳组(62.8%)显著性增高,差异有统计学意义(P<0.01)。直径在2.5 cm以上结石,U100激光组较碎石钳组碎石效率及成功率均明显增高,差异有显著统计学意义(P<0.05)。结论:对直径1.5 cm以下结石,Punch碎石钳与U-100激光在碎石效果方面差异无统计学意义。对直径2.5 cm以上结石,推荐首选U-100激光。U-100激光碎石联合TURP是治疗BPH并膀胱结石的安全、有效的方法。
Objective: To study the safety and effectiveness of Punch lithotripsy lithotripsy and U100 laser lithotripsy in the treatment of bladder stones, and to further compare the effectiveness of the two lithotripsy methods. Methods: A retrospective analysis of 82 cases of bladder stones in patients with clinical data, including 43 cases of Punch lithotripsy, U100 39 cases of laser lithotripsy. Results: The success rate of lithotripsy in U100 laser group (97.2%) was significantly higher than that in gravel clamp group (62.8%), with statistical significance (P <0.01). The diameter and diameter of stones in more than 2.5 cm, U100 laser lithotripsy group gravel efficiency and success rate were significantly higher, the difference was statistically significant (P <0.05). Conclusion: There is no significant difference in lithotripsy effect between Punch gravel forceps and U-100 laser for stones less than 1.5 cm in diameter. For the diameter of more than 2.5 cm stones, the preferred U-100 laser. U-100 laser lithotripsy combined with TURP is a safe and effective method for the treatment of BPH and bladder stones.