[1]王海明,许宁,陈岐辉,等.经皮肾镜钬激光碎石术与双导管超声碎石术治疗鹿角型肾结石的比较[J].中华腔镜泌尿外科杂志(电子版),2013,(06):35-37.
　WANG Hai-ming,XU Ning,CHEN Qi-hui,et al.The comparision of dual-probe ultrasonic lithotripsy and Holmium laser lithotripsy in percutaneous nephrolithotomy[J].,2013,(06):35-37.
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经皮肾镜钬激光碎石术与双导管超声碎石术治疗鹿角型肾结石的比较()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2013年06期
页码:
35-37
栏目:
出版日期:
2013-12-31

文章信息/Info

Title:
The comparision of dual-probe ultrasonic lithotripsy and Holmium laser lithotripsy in percutaneous nephrolithotomy
作者:
王海明; 许宁; 陈岐辉; 王晓庆
吉林大学第一医院泌尿外科，长春,130021
Author(s):
WANG Hai-ming; XU Ning; CHEN Qi-hui; WANG Xiao-qing
关键词:
经皮肾镜; 肾结石; 双导管; 钬激光
摘要:
目的 比较钬激光碎石与双导管超声碎石在经皮肾镜手术中的临床疗效和安全性.方法 回顾性分析我院2010年1月至2012年6月131例鹿角型肾结石患者的临床资料,其中双导管超声碎石组51例,钬激光碎石组80例,比较两种碎石方法在手术时间、术中估计出血量、结石清除率、术后并发症发生率及术后住院时间等方面的差异.结果 两组患者在性别、年龄、身体质量指数(BMI)、结石大小及位置上无差别(P＞0.05).双导管超声碎石组术中手术时间及平均估计出血量显著低于钬激光组(52.1±25.1 minvs.78.4±33.9 min,P＜0.001;101.7±25.8 ml vs.124.2±18.4ml,P＜0.001).双导管超声碎石组平均术后住院日为7.1d,钬激光碎石组为6.4 d,组间差异无统计学意义.双导管超声碎石组结石清除率为90.2％,钬激光碎石组结石清除率为81.3％,二者差异无统计学意义(P＞0.05).两组患者总的并发症发生率相当(13.7％ vs 26.3％,P=0.09),但双导管碎石组感染性并发症发生率显著低于钬激光碎石组(7.8％ vs.21.3％,P=0.04).结论 与钬激光碎石术相比,双导管超声碎石术具有手术时间短、出血少、术后感染性并发症少等优点,值得临床推广应用.

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更新日期/Last Update: 1900-01-01