LL和ESWL治疗输尿管结石的疗效和安全性分析

承德医学院学报 ›› 2017, Vol. 34 ›› Issue (1): 23-25.

LL和ESWL治疗输尿管结石的疗效和安全性分析

沈欣

靖江市中医院泌尿外科,江苏靖江 214500

收稿日期:2016-05-23 出版日期:2017-02-10 发布日期:2021-11-24

ANALYSIS OF EFFICACY AND SAFETY OF LL AND ESWL IN TREATMENT OF URETERAL CALCULI

SHEN Xin

Department of Urology, Jingjiang Chinese Medicine Hospital, Jiangsu Jingjiang 214500, China

Received:2016-05-23 Online:2017-02-10 Published:2021-11-24

摘要/Abstract

摘要： 目的: 探讨体外冲击波碎石技术（ESWL）和输尿管镜钬激光碎石术（LL）治疗输尿管结石的疗效和安全性。方法: 210例输尿管结石患者随机分为研究组（n=106）和对照组（n=104）,研究组采用LL术治疗,对照组采用ESWL术治疗,观察两组患者的临床疗效、手术时间、住院时间、下床活动时间以及不良反应发生情况。结果:研究组患者总有效率为92.5%（98/106）,明显高于对照组,组间比较差异具有统计学意义（P<0.01）。与对照组相比,研究组患者手术时间、住院时间、下床活动时间明显缩短,不良反应发生率（9.4%,10/106）明显降低,组间比较差异具有统计学意义（P<0.01,P<0.05）。结论: 采用LL术治疗输尿管结石临床疗效较好,且操作简单、创伤小、术后恢复快、不良反应少、安全性高。

关键词: 输尿管镜钬激光碎石术, 体外冲击波碎石术, 输尿管结石, 临床疗效, 安全性

Abstract: Objective: To investigate the efficacy and safety for treating ureteral calculi with extracorporeal shock wave lithotripsy (ESWL) and holmium laser lithotripsy (LL).Methods: 210 ureteral calculi patients were randomly divided into study group (n=106) and control group (n=104). The patients in study group were treated with LL, while the patients in control group were treated with ESWL. The clinical effects, operation time, hospital stays, leaving bed time and occurrence of adverse reactions of 2 groups were compared. Results: The total effective rate of study group was 92.5% (98/106), which was obviously higher than control group (P<0.01). Compared with control group, the operation time, hospital stays and leaving bed time of study group shortened obviously, and incidence of adverse reactions decreased obviously (P<0.01, P<0.05). Conclusions: Treating ureteral calculi with LL can obtain better clinical effects, and also has the advantages of easy operation, little injury, fast recovery, less adverse reactions and high security.

Key words: Holmium laser lithotripsy, Extracorporeal shock wave lithotripsy, Ureteral calculi, Clinical effects, Safety

中图分类号:

R693

沈欣. LL和ESWL治疗输尿管结石的疗效和安全性分析[J]. 承德医学院学报, 2017, 34(1): 23-25.

SHEN Xin. ANALYSIS OF EFFICACY AND SAFETY OF LL AND ESWL IN TREATMENT OF URETERAL CALCULI[J]. Journal of Chengde Medical University, 2017, 34(1): 23-25.

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