钬激光碎石术与体外冲击波碎石术对输尿管结石的治疗效果比较

The comparison of treating ureteral calculus with holmium laser lithotripsy to extracorporeal shock wave lithotripsy

目的:探究钬激光碎石术与体外冲击波碎石术对输尿管结石的治疗效果比较。方法:选取我院2013年4月~2014年2月收治的56例输尿管结石患者,将其随机分成观察组和对照组,各28例。观察组通过钬激光碎石术进行治疗,对照组通过外冲击波碎石术(ESWL)进行治疗,对比两组患者手术时间、手术后30d结石排净率和并发症情况。结果:观察组的手术时间,明显短于对照组。且两组患者的手术后30d解释的排净率分别为:92.86%、71.43%,差异有统计学的意义,P<0.05。观察组不良反应发生率显著低于对照组,差异有统计学的意义,P<0.05。结论:钬激光碎石术治疗输尿管结石,治疗效果较佳,值得临床方面应用和推广。

Objective:To discuss the effect of reating ureteral calculus with holmium laser lithotripsy to extracorporeal shock wave lithotripsy(ESWL).Methods:Choosed 56 cases of ureteral calculus from Apr.2013 to Feb.2014 to divide into study group and controlled group with28 cases in each.The study group were treated with holmium laser lithotripsy,controlled group were treated with ESWL.Compared the operation time,rate of expelling lithiasis and incidence of complication.Results:The operation time of study group was shorter than controlled group.The rate of expelling lithiasis was 92.86% of study group,higher than 71.43% of controlled group.The incidence of study group was lower than controlled group.Conclusion∶Treating ureteral calculus with holmium laser lithotripsy is effective to extend in clinic.