Comparison of Holmium Laser and Pneumatic Lithotripsy in Managing Ureteral Calculi:Report of 1035 Cases
- VernacularTitle:输尿管镜下钬激光与气压弹道碎石治疗输尿管结石效果的比较(附1035例报告)
- Author:
Xinghui SUN
;
Wenhong LIN
;
Weizhen WU
- Publication Type:Journal Article
- Keywords:
Holmium:YAG laser;
Ureteral calculi;
Pneumatic lithotripsy;
Ureteroscope
- From:Chinese Journal of Minimally Invasive Surgery
2001;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy of Holmium:YAG laser and pneumatic lithotripsy in the treatment of ureteral calculi.Methods From February 2002 to February 2007,totally 1035 patients with ureteral calculi underwent ureteroscopic lithotripsy with Holmium:YAG laser or pneumatic lithotripsy in our hospital.The data of the patients were analyzed retrospectively.Results The success rate of primary lithotripsy was 99.1%(328/331)in the patients received holmium laser,and 97.6%(687/704)in those who underwent pneumatic lithoclast(?2=2.703,P=0.100).Stone-free rate at 3 weeks was 98.2%(322/328)in the Holmium laser group,which was significantly higher than that in the pneumatic lithoclast group 88.1%(605/687),?2=28.639,P=0.000].However,significantly more ureteroscopes were damaged in the Holmium laser group than the pneumatic lithoclast group(11 vs 6,?2=8.509,P=0.004).Conclusions The stone-free rate in holmium laser group is higher than that in pneumatic lithoclast group.However,more ureteroscopes are damaged by holmium laser.
