摘要
目的:比较腰肋悬空仰卧位下经皮肾镜(PCNL)标准通道(F_(20))双导管Cyberwand碎石清石系统与微通道(F_(16))钬激光碎石两种方法治疗复杂性输尿管上段结石的疗效。方法:回顾性分析2010年3月~2010年8月应用腰肋悬空仰卧位行标准通道(F_(20))PCNL双导管Cyberwand碎石清石系统和微通道(F_(16))(mPCNL)经皮肾镜钬激光治疗复杂性输尿管上段结石34例的临床资料,比较两种方法的碎石时间、碎石率、清石率等临床相关指标的差异。结果:双导管组(n=18)的碎石率为100%(18/18),清石率为95%(17/18),平均手术时间(11±5)min;钬激光组(n=16)的碎石率为95%(15/16),清石率分别为81%(13/16),平均手术时间(20±6)min。两种方法碎石率比较差异无统计学意义(P>0.05);清石率双导管组优于钬激光组(P<0.05);手术时间双导管组优于钬激光组(P<0.05)。结论:腰肋悬空仰卧位下PCNL治疗输尿管上段碎石,标准通道(F_(20))双导管Cyberwand碎石清石系统较微通道(F_(16))钬激光有较高的清石率,且可以显著节约碎石时间。
Objective:To compare the efficacy of micro-channel holmium laser lithotripsy and standard channelI (F20) Novel Dual Probe (cyberwand) Intracorporeal dealing with complex upper ureteric calculi during microchan- nel percutaneous nephrolithotomy in flank-suspended supine position. Methods: 34 cases were separated into two groups and analyzed the clinical parameters including the average time of lithotripsy, the rate of clearance and the rate of macadam. Result:The average time of lithotripsy in cyberwand Intracorporeal group (was 11 min) and the rate of complications (11%)were lower than that in laser group (P〈0.05). The clearance rate of stone in cyber- wand group (95%) was higher than that in laser group (81 %) (P〈0.05) ;There is no difference between the two groups in the rate of macadam(P〉0.05). Conclusions: Normochannel (F20) percutaneous nepbrostomy with cyberwand Intracorporeal for complex upper ureteric calculi has more advantages and higher clearance than microchannel laser lithotripsy group.
出处
《临床泌尿外科杂志》
北大核心
2011年第6期445-448,共4页
Journal of Clinical Urology