【摘要】 目的:比较输尿管镜下钬激光碎石术联合气压弹道碎石术与单用钬激光碎石术、单用气压弹道碎石术三者治疗嵌顿性输尿管结石并息肉的有效性和安全性。方法:回顾性分析105例采用输尿管镜下钬激光碎石联合气压弹道碎石术32例、单用钬激光碎石术30例、单用气压弹道碎石术43例治疗嵌顿性输尿管结石并息肉患者资料。结果:钬激光碎石联合气压弹道碎石单次碎石率为93.8%(30/32),高于单用钬激光碎石的76.7%(23/30)及单用气压弹道碎石的69.8%(30/43)(P<0.01);钬激光碎石联合气压弹道碎石术组中无输尿管穿孔、撕脱、大出血等并发症;单用钬激光碎石组有1例大出血,3例发生输尿管穿孔;单用气压弹道碎石组有2例发生输尿管穿孔。结论:输尿管镜下钬激光碎石联合气压弹道碎石术的疗效和安全性优于单用钬激光碎石术及单用气压弹道碎石术,是治疗嵌顿性输尿管结石并息肉输尿的一种安全、高效的方法。更多还原

【Abstract】 Objective To compare the efficacy and safety of endoscopic laser lithotripsy and endoscopic pneumatic lithotripsy(LL-PL) and single endoscopic laser lithotripsy(LL) and single endoscopic pneumatic lithotripsy(PL) for ureteral calculi complicated with polyps of ureter.Methods We retrospectively analyzed the clinical data of 105 patients with ureteral calculi complicated with polyps of ureter treated with endoscopic laser lithotripsy and pnumatic lithotripsy(n = 32) and single endoscopic laser litho-trispsy(n = 30) and single pneumatic lithotripsy(n = 43).Results The overall successful fragmentation rate of all ureteral stones in a single session of the LL-PL group was higher than that of the single LL group(93.8% vs 76.7%,P < 0.01) and the single PL group(93.8% vs 69.8%,P < 0.01).The average stonefree time of the LL-PL group was shorter than that of the single LL group(21days vs 30days) and the single PL group(21days vs 35days).No complications such as perforation、tore off and ureter bleeding during the operation were observed in the LL-PL group where as 3 perforations occurred in the single LL group and 2 perforations in the single PL group.Conclusion LL-PL has its advantage over single LL and single PL in its better clinical effect for the stone fragmentation and low complication rate and is an effective and safe treatment for rueteral calculi co,plicated with polyps of ureter.更多还原