摘要
目的探讨输尿管镜下钬激光配合套石篮治疗上段输尿管结石的临床效果。方法 220例上段输尿管结石患者,随机分为观察组(116例)和对照组(104例),两组均采用输尿管镜和钬激光碎石术。对照组术中不应用套石篮,观察组术中配合套石篮治疗。结果术中观察组和对照组碎石成功率分别为96.55%(112/116)和78.85%(82/104),术中结石滑落回肾盂或肾盏内比率分别为10.34%(12/116)和26.92%(28/104),两组比较差异有显著性P<0.01。两组术中均无穿孔和黏膜剥脱等并发症发生。结论输尿管镜下钬激光碎石配合套石篮固定上段输尿管结石的方法明显降低了结石推移至肾盂或肾盏内的比率,提高了碎石成功率。
【Objective】To evaluate curative effects of basket manipulation combined with uretero scopy and holmium：YAG laser lithotripsy for treatment of proximal ureteral calculi. 【Methods】In experimental group （EG）, clinical data of 116 cases of proximal ureteral calculi received the therapy of basket manipulation combined with uretero scopy and holmium：YAG laser lithotripsy for treatment, in control group （CG）, 104 received the same treatment in addition to the therapy of basket manipulation. 【Results】In EG, the successful rate of lithotripsy was 96.55% （112/116）, in CG, it was 78.85% （82/104）, the rates of calculi translocation were 10.34% （12/116） and 26.92% （28/104）, P 0.01. All the cases were not found syndrome.【Conclusions】The therapy of basket manipulation combined with uretero scopy and holmium：YAG laser lithotripsy for treatment increase the rate of lithotripsy obviously.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第10期1075-1076,1079,共3页
China Journal of Endoscopy
关键词
套石篮
输尿管镜
钬激光
输尿管结石
basketmanipulation
ureteroscopy
Holmium： YAG laser
ureteralcalculi
