钬激光碎石术与体外冲击波碎石术治疗输尿管结石的效果对比研究

Comparison of therapeutic effect of holmium laser lithotripsy and extracorporeal shock wave lithotripsy in the treatment of patients with ureteral calculi

目的:研究钬激光碎石术与体外冲击波碎石术治疗输尿管结石的效果对比。方法:收治输尿管结石患者70例,平分为两组。1组采用钬激光碎石术进行治疗,2组采用体外冲击波碎石术进行治疗。对两组患者的手术时间、手术后2个月结石排净率以及术后并发症的情况进行观察和记录。结果:1组手术时间明显小于2组;1组手术后的结石排净率91.4%,明显高于2组的71.4%;1组在感染、黏膜脱落以及结石上移的术后并发症上明显少于2组,两组差异具有统计学意义(P<0.05)。结论:钬激光碎石术具有更好的临床疗效,不仅可以缩短手术时间,而且术后的排石率较高,术后并发症的发生率也较少。

Objective:To investigate the comparison of therapeutic effect of holmium laser lithotripsy and extracorporeal shockwave lithotripsy in the treatment of patients with ureteral calculi.Methods:70 patients with ureteral calculi were selected,they weredivided into the two groups on average.Patietns in the group one were treated with holmium laser lithotripsy,patients in the grouptwo were treated with extracorporeal shock wave lithotripsy.We observed and recorded the operation time of the two groups ofpatients,the rate of stone drainage after 2 months of surgery,and postoperative complications.Results:The operation time of thegroup one was significantly less than the group two,the net rate of stones of patients in the group one was 91.4% whichsignificantly higher than that in the two group of 71.4%.The postoperative complications of infection,mucosal shedding and stoneremoval of the group one were significantly less than the group two,the differences between the two groups were statisticallysignificant(P<0.05).Conclusion:Holmium laser lithotripsy has better clinical curative effect,not only can shorten the operationtime,but also has a high rate of stone removal,and the incidence of postoperative complications is also less.