[1]覃庆平,文 斌,王 伟.输尿管镜U100激光碎石术和气压弹道碎石术治疗输尿管上段结石的疗效比较[J].医学信息,2023,36(06):89-92.[doi:10.3969/j.issn.1006-1959.2023.06.019]
　QIN Qing-ping,WEN Bin,WANG Wei.Comparison of the Efficacy of Ureteroscopic U100 Laser Lithotripsy and Pneumatic Lithotripsy in the Treatment of Upper Ureteral Calculi[J].Journal of Medical Information,2023,36(06):89-92.[doi:10.3969/j.issn.1006-1959.2023.06.019]
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输尿管镜U100激光碎石术和气压弹道碎石术治疗输尿管上段结石的疗效比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年06期
页码:
89-92
栏目:
论著
出版日期:
2023-03-15

文章信息/Info

Title:
Comparison of the Efficacy of Ureteroscopic U100 Laser Lithotripsy and Pneumatic Lithotripsy in the Treatment of Upper Ureteral Calculi
文章编号:
1006-1959（2023）06-0089-04
作者:
覃庆平; 文 斌; 王 伟
（1.柳州市中医医院泌尿外科，广西 柳州 545001；2.柳州市人民医院泌尿外科，广西 柳州 545006）
Author(s):
QIN Qing-ping; WEN Bin; WANG Wei
(1.Department of Urinary Surgery,Liuzhou Traditional Chinese Medical Hospital,Liuzhou 545001,Guangxi,China;2.Department of Urinary Surgery,the People’s Hospital of Liuzhou,Liuzhou 545006,Guangxi,China)
关键词:
输尿管镜; U100激光碎石术; 气压弹道碎石术; 输尿管上段结石
Keywords:
Ureteroscopy; U100 laser lithotripsy; Pneumatic ballistic lithotripsy; Upper ureteral calculi
分类号:
R693
DOI:
10.3969/j.issn.1006-1959.2023.06.019
文献标志码:
A
摘要:
目的 比较输尿管镜下U100激光碎石术和气压弹道碎石术治疗输尿管上段结石的疗效及安全性。方法 选取2013年12月-2018年9月柳州市人民医院收治的输尿管上段结石患者100例作为研究对象，按照随机数字表法分为观察组和对照组，各50例。对照组行输尿管镜下气压弹道碎石术，观察组行输尿管镜下U100激光碎石术，比较两组手术时间、单次碎石成功率、结石彻底清除率、手术并发症发生率，并分析单次碎石失败原因。结果 观察组单次碎石成功率及结石清除率为90.00%、86.00%，高于对照组的68.00%、60.00%（P＜0.05）；观察组手术时间为（35.84±5.34）min，短于对照组的（55.08±9.78）min（P＜0.05）；观察组并发症发生率为12.00%，低于对照组的30.00%（P＜0.05）；两组碎石失败的主要原因是碎石过程中结石上移至肾脏，术中未能找到结石所致。结论 输尿管镜下U100激光碎石具有手术时间短、高效、安全及并发症少等优点，是治疗输尿管上段结石的有效手段。
Abstract:
Objective To compare the efficacy and safety of ureteroscopic U100 laser lithotripsy and pneumatic lithotripsy in the treatment of upper ureteral calculi.Methods A total of 100 patients with upper ureteral calculi admitted to the People’s Hospital of Liuzhou from December 2013 to September 2018 were selected as the research objects and divided into observation group and control group according to the random number table method, with 50 cases in each group. The control group was treated with ureteroscopic pneumatic ballistic lithotripsy, and the observation group was treated with ureteroscopic U100 laser lithotripsy. The operation time, single lithotripsy success rate, stone clearance rate and incidence of surgical complications were compared between the two groups, and the causes of single lithotripsy failure were analyzed.Results The success rate of single lithotripsy and stone clearance rate in the observation group were 90.00% and 86.00%, which were higher than 68.00% and 60.00% in the control group (P<0.05). The operation time of the observation group was (35.84±5.34) min, which was shorter than (55.08±9.78) min of the control group (P<0.05). The incidence of complications in the observation group was 12.00%, which was lower than 30.00% in the control group (P<0.05). The main reason for the failure of crushed stone in the two groups was that the stones moved up to the kidney during the lithotripsy, and the stones were not found during the operation.Conclusion The ureteroscopic U100 laser lithotripsy has the advantages of short operation time, high efficiency, safety and few complications, which is an effective method for the treatment of upper ureteral calculi.

参考文献/References:

[1]梅骅,陈凌武,高新.泌尿外科手术学[M].北京:人民卫生出版社,2008:761.[2]张亮,梁高照,汪清.输尿管软镜在输尿管上段及肾结石疾病中的临床应用价值[J].中国医师杂志,2016,18(1):125-127.[3]许嘉骏,周伟民,谭剑敏,等.双频双脉冲激光碎石术与钬激光碎石术治疗输尿管结石的比较[J].临床泌尿外科杂志,2012,27(8):605-607．[4]那彦群,叶章群,孙颖浩,等.中华泌尿外科疾病诊断治疗指南[M].北京:人民卫生出版社,2014:137.[5]张鹏,种铁,杨小杰,等.组合式输尿管软镜联合U100plus激光治疗上尿路结石临床疗效及安全性分析[J].陕西医学杂志,2015,44(7):816-818.[6]鲁成军,王亦农,田金波,等.三种微创碎石术治疗复杂性输尿管上段结石的临床对比研究[J].腹腔镜外科杂志,2017,22(7):501-504. [7]张建忠,张军晖,邢念增.输尿管软镜在复杂性上尿路结石治疗中的应用[J].微创泌尿外科杂志,2015,4(2):88-91.[8]Takasawa R,Kitayama S,Kobayashi S,et al.Transurethral lithotripsy with rigid and flexible ureterescopy for renal and Ureteralstones:results of the first 100 procedures[J].Hinyokika Kiyo,2011,57(8):411．[9]Fuh E,Haleblian GE,Norris RD,et al.The effect of frequency doubled double pulse Nd:YAG laser fiber proximity to the target stone on transient cavitation and acoustic emission[J].J Urol,2007,177(4):1542-1545.[10]Bevan JM,Lulich JP,Albasan H,et al.Comparison of laser lithotripsy and cystotomy for the management of dogs with urolithiasis[J].J Am Vet Med Assoc,2009,234(10):1286-1294.[11]徐巍,黄晨,赖德辉,等.电子输尿管软镜联U100Plus激光治疗上尿路2～3 cm结石的疗效研究[J].中华腔镜泌尿外科杂志(电子版),2020,14(3):200-203．[12]刘莺,桂亚平,吴登龙,等.ESWL与输尿管镜激光碎石治疗输尿管下段结石的前瞻性研究[J].同济大学学报(医学版),2015,36(1):96-100．[13]Ebert A,Stangl J,Kuhn R,et al.The frequency-doubled double-pulse Neodym:YAG laser lithotripter (FREDDY) in lithotripsy of urinary stones. First clinical experience[J].Urologe A,2003,42(6):825-833.[14]Marguet CG,Sung JC,Springhart WP,et al.In vitro comparison of stone retropulsion and fragmentation of the frequency doubled, double pulse nd:yag laser and the holmium:yag laser[J].J Urol,2005,173(5):1797-1800.[15]陶宏平,赵伟平,朱扬进,等.经输尿管硬镜钬激光碎石术与气压弹道碎石术治疗输尿管多发结石的临床研究[J].中国内镜杂志,2016,22(4):39-42.[16]Chen LC,Chiu AW,Lin WR,et al.Comparison of pneumatic and Holmium laser ureteroscopic lithotripsy for upper third ureteral stones[J].Urological Science,2017,28(2):101-104.[17]张国华,章钟,阳王磊,等.微通道经皮肾镜双频激光碎石术治疗上尿路结石的体会[J].安徽卫生职业技术学院学报,2018,17(3):60-61． [18]Zorcher T,Hochberger J,Schrott KM,et al.In vitro study concerning the efficiency of the frequency-doubled double pulse Neodymium:YAG laser(FREDDY)for lithotripsy of calculi in the urinary tract[J]．Lasers Surg Med,1999,25(1):38-42．[19]祝丹,唐曦,汪益民.不同微创手术治疗老年膀胱结石的效果比较[J].山东医药,2016,56(41):96-98.[20]刘东,和军,李凯,等.输尿管镜下Ｕ-100激光碎石术治疗婴幼儿输尿管结石[J].国际泌尿系统杂志,2015,35(4):490-493．[21]赵学军.经尿道前列腺切除联合U100激光碎石术对前列腺增生症合并膀胱结石患者的疗效[J].河南医学研究,2020,29(28):5262-5264.

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更新日期/Last Update: 1900-01-01