经皮肾镜下超声气压弹道碎石清石系统与钬激光处理复杂性肾结石的对比研究

Comparative study of ultrasonic pneumatic lithotripsy and holmium laser in treatment of complex renal calculi

摘要:

 目的   观察和比较经皮肾镜下超声气压弹道碎石清石系统与钬激光处理复杂性肾结石的临床疗效。方法   收集该院复杂性肾结石患者共138例，随机分为A和B两组，每组各69例患者，A组采用经皮肾镜下超声气压弹道碎石系统，B组采用钬激光碎石，比较两种碎石方式的碎石时间、I期结石清除率、术后平均住院日以及并发症发生率。结果   两组在I期结石清除率比较上差异无统计学意义（P >0.05）。A组手术时间明显短于B组，且A组的平均住院日和并发症发生率低于B组，差异具有统计学意义（P <0.05）。结论   与传统的钬激光碎石相比，经皮肾镜下超声气压弹道碎石清石系统处理复杂性肾结石，手术时间短，术后恢复快，有较高的有效性和安全性，值得临床推广应用。

Abstract:

  Abstract: Objective To observe and compare the clinical effect of ultrasonic pneumatic lithotripsy and holmium laser in percutaneous nephrolithotomy for complex renal calculi. Methods A total of 138 patients with complex renal calculi were randomly divided into group A and B, 69 cases in each group. A group was treated with ultrasonic pneumatic lithotripsy system and B group was treated with holmium laser lithotripsy. The operation time, stone removal rate in I phase, postoperative hospital stay and complications rate were compared. Results There was no significant difference between the two groups in the rate of stone removal in I stage (P > 0.05). The operation time of the A group was shorter than that of the B group (P < 0.05), and the average length of hospital stay and the incidence of complications in A group was statistically significant lower than that in B group, respectively (P < 0.05). Conclusion Compared with holmium laser, ultrasonic pneumatic lithotripsy for the treatment of complex renal calculi, the operation time and postoperative hospital stay is shorter. It has high effectiveness and safety, and worth of clinical application.