两种方法治疗嵌顿性输尿管结石并息肉的疗效分析

Efficacy Analysis of the Two Methods to Treat Incarcerated Ureteral Stones with Polyps

目的:比较输尿管镜下钬激光碎石联合气压弹道碎石术(LL-PL)与单用钬激光碎石术(LL)治疗嵌顿性输尿管结石并息肉的疗效。方法:选择2009年1月-2012年1月在笔者所在医院接受治疗的83例嵌顿性输尿管结石并息肉患者,分为两组,观察组采用LL-PL治疗,对照组采用LL治疗,观察并比较两组的疗效。结果:观察组单次粉碎结石率为92.5%,明显高于对照组的72.1%(P<0.05),观察组无输尿管穿孔、撕脱和大出血等严重并发症,不良反应发生率为2.5%,明显低于对照组的30.2%,差异有统计学意义(P<0.05)。结论:输尿管镜下钬激光联合气压弹道碎石术治疗嵌顿性输尿管结石并息肉较单纯钬激光碎石术有更好的临床疗效和较少的不良反应,值得临床推广应用。

Objective ：To compare the efficacy and safety of ureteroscopic laser lithotripsy combined with pneumatic lithotripsy （LL-PL） and laser lithotripsy alone（LL） in the treatment of incarcerated uretcral stones with polyps.Methods ：83 patients from Jan 2009 to Jan 2012 in our hospital were selected, who were divided into two groups, the observation group were treated with LL-PL and the control group with LL, compared their efficacy and safety.Results ：The successful rate of all ureteral stones removing in a single session in the observation group and control group were 92.5% and 72.1%, and the difference was significantly（P〈0.05）.There were no serious complications like ureteral perforation and avulsion and bleeding in observation group. The adverse reaction rate was 2.5%, which was significantly lower than 30.2% in control group（P〈0.05）.Conclusion ：LL-PL has better effect and lower complication rate in the treatment of incarcerated ureteral stones with polyps than LL, which is worthy of clinical application.