Therapeutic effect of ureteroscopic pneumatic lithotripsy and percutaneous renal holmium laser lithotripsy for upper ureteral calculi

FU Cheng-long; YAO Xiong; ZHUANG Jun-long

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Therapeutic effect of ureteroscopic pneumatic lithotripsy and percutaneous renal holmium laser lithotripsy for upper ureteral calculi

更新时间：2023-05-22

- Therapeutic effect of ureteroscopic pneumatic lithotripsy and percutaneous renal holmium laser lithotripsy for upper ureteral calculi
- null Issue 1, (2019)
- 作者机构：
  
  1. 昆山市第四人民医院泌尿外科，江苏昆山,215300
  2. 南京市鼓楼医院泌尿外科,江苏,南京,210000
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2019，
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FU Cheng-long, YAO Xiong, ZHUANG Jun-long. Therapeutic effect of ureteroscopic pneumatic lithotripsy and percutaneous renal holmium laser lithotripsy for upper ureteral calculi. [J]. null (1).(2019)
DOI：

FU Cheng-long, YAO Xiong, ZHUANG Jun-long. Therapeutic effect of ureteroscopic pneumatic lithotripsy and percutaneous renal holmium laser lithotripsy for upper ureteral calculi. [J]. null (1).(2019) DOI：

摘要

目的探究输尿管镜下气压弹道碎石与经皮肾穿刺钬激光碎石术治疗输尿管上段结石的疗效。方法选取我院2016年12月至2017年12月收治的输尿管上段结石患者132例，按手术方式的不同分为观察组和对照组，每组66例。对照组采用输尿管镜下气压弹道碎石术，观察组采用经皮肾穿刺钬激光碎石术，对比2组患者临床疗效、手术指标及并发症发生率。结果观察组临床疗效（90.91%）高于对照组（75.76%），差异有统计学意义（P＜0.05）；观察组手术时间为（27.53±3.97）min，短于对照组的（42.59±4.34）min，术后出血量（18.59±5.21）mL，少于对照组的（31.68±4.72）mL，差异有统计学意义（P＜0.05），术后住院时间（5.31±1.62）d，与对照组的（5.28±1.48）d相比，差异无统计学意义（P＞0.05）；观察组并发症发生率与对照组相比，差异无统计学意义（P＞0.05）。结论经皮肾穿刺钬激光碎石术较气压弹道碎石术治疗输尿管上段结石临床疗效更好，可缩短手术时间，减少出血量，安全性更高。

Abstract

Objective To investigate the efficacy of ureteroscopic pneumatic lithotripsy and percutaneous renal holmium laser lithotripsy in the treatment of upper ureteral calculi. Methods A total of 132 patients with upper ureteral calculi admitted to our hospital from December 2016 to December 2017 were randomly divided into observation group and control group

66 cases in each group.The control group underwent ureteroscopic pneumatic lithotripsy

and the observation group used percutaneous nephrolithotomy holmium laser lithotripsy.The clinical efficacy

surgical index and complication rate between two groups were compared. Results The clinical efficacy of the observation group（90.91%） was higher than that of the control group（75.76%）

and the difference was statistically significant(P<0.05). The operation time of the observation group was （27.53±3.97）minutes

which was shorter than （42.59±4.34）minutes of the control group

and the postoperative blood loss was （18.59±5.21）mL

which was less than （31.68±4.72）mL of the control group

the difference was statistically significant(P<0.05).There was no significant difference in postoperative hospital stay between observation group[（5.31±1.62）days] and control group[（5.28±1.48）days](P>0.05). There was no significant difference in the incidence of complications between two groups(P>0.05). Conclusion Percutaneous nephrolithotomy with holmium laser lithotripsy is more effective than pneumatic lithotripsy in the treatment of upper ureteral calculi. It can shorten the operation time

reduce the amount of bleeding

and has higher safety.

关键词

〗输尿管镜气压弹道碎石术经皮肾穿刺钬激光碎石术输尿管上段结石临床疗效并发症

Keywords

ureteroscopypneumatic ballistic lithotripsypercutaneous nephrolithotomy holmium laser lithotripsyupper ureteral calculiclinical efficacycomplication

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