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气压弹道碎石与钬激光碎石在治疗输尿管结石中的效果对比研究 被引量:4

Comparative study of pneumatic lithotripsy and holmium laser lithotripsy in the treatment of ureteral calculi
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摘要 目的:探讨气压弹道碎石与钬激光碎石在治疗输尿管结石中的治疗效果.方法:回顾性分析2013年5月~2016年12月在我院接受治疗的输尿管结石患者的临床资料,根据其治疗方式分为气压弹道碎石组与钬激光碎石组.观察两组患者手术一般情况和碎石率,比较两组患者术后恢复、生活质量和并发症发生率的差异.结果:钬激光碎石组的手术时间和血尿时间较气压弹道碎石组短,碎石率较气压弹道碎石组高;治疗后1个月和3个月,钬激光碎石组患者的IPSS和QOL较气压弹道碎石组低,Qmax较气压弹道碎石组高;两组患者治疗前生活质量无差别,治疗后3个月,钬激光碎石组生活质量高于气压弹道碎石组;两组患者膀胱穿孔、直肠损伤、暂时性尿失禁、尿道狭窄和泌尿系感染感染发生率无明显差别.结论:钬激光碎石对输尿管结石有较好的治疗效果,碎石率高,具有良好的应用价值. Objective To investigate the effect of pneumatic lithotripsy and holmium laser lithotripsy in the treatment of ureteral calculi.Methods The clinical data of patients with ureteral calculi treated in our hospital from May 2013 to December 2016 were retrospectively analyzed.The patients were divided into two groups according to their treatment methods:pneumatic lithotripsy group and holmium laser lithotripsy group.The two groups of patients with general surgery and gravel rate were compared between the two groups of patients with postoperative recovery,quality of life and complications.Results Holmium laser lithotripsy group operation time and hematuria time than pneumatic lithotripsy group,gravel rate than pneumatic lithotripsy group;At 1 and 3 months after treatment,the IPSS and QOL of the patients with holmium laser lithotripsy were lower than those of the pneumatic lithotripsy group,and Qmax was higher than that of the pneumatic lithotripsy group;There was no difference in quality of life between the two groups before treatment.After treatment for 3 months,the quality of life of the holmium laser lithotripsy group was higher than that of the pneumatic lithotripsy group;Two groups of patients with bladder perforation,rectal injury,temporary urinary incontinence and urethral stricture and infection of the urinary tract infection rate showed no significant difference.Conclusion Holmium laser lithotripsy has a good effect on the treatment of ureteral calculi.
作者 王美才 赵先诚 蒋立桂 时进 魏杭奇 Wang Mei-cai;Zhao Xian-cheng;Jiang Li-gui;Shi Jin;Wei Hang-qi(Central Hospital of Shuyang County Urology,Shuyang 223600,China;Urology Department of the First People’s Hospital of Suqian,Suqian 223000,China)
出处 《湖南师范大学学报(医学版)》 2019年第4期173-176,共4页 Journal of Hunan Normal University(Medical Sciences)
关键词 碎石 输尿管结石 生活质量 lithotripsy ureteral calculi quality of life
作者简介 通讯作者:王美才,E-mail:13815736638@163.com
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