Abstract:Objective: To analyze the clinical efficacy of YAG laser lithotripsy and YAG laser lithotripsy combined with traditional Chinese herbs for the treatment of ureteral calculus. Methods: Between Dec. 2008 and Aug. 2014, 480 inpatients with ureteral calculus in our urological department were randomly divided into two groups: YAG laser group (n=240) and YAG laser combined with traditional Chinese herbs group (n=240). The clinical data were collected, and the one-off successful rate of lithotripsy, the calculus clearance rate, the mean lithotripsy time, mean hospital stay and complications were analyzed. Results: The mean hospital stay, mean lithotripsy time, one-off successful rate, and calculus clearance rate in YAG laser combined with traditional Chinese herbs group were significantly superior (P<0.05) to their counterparts of YAG laser group, and the complication rate was lower in YAG laser combined with traditional Chinese herbs group (P<0.05). Conclusions: The YAG laser lithotripsy through ureteroscopy combined with traditional Chinese herbs was safe, efficient, minimally-invasive and effective to treat ureteral calculus. It could be the preferred therapy for ureteral calculus.
王占国任亚男,康爱文,辛立生. 输尿管镜下钬激光碎石术联合中药治疗输尿管结石临床研究[J]. 微创泌尿外科杂志, 2015, 4(2): 78-80.
Wang ZhanguoRen Yanan, Kang Aiwen, Xin Lisheng. Clinical research of YAG laser lithotripsy through ureteroscopy combined with traditional Chinese herbs for the treatment of ureteral calculus. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2015, 4(2): 78-80.
[1]Bagley D, Erhard M. Use of the holmium laser in the upper urinary tract. Tech Urol,1995,1(1):25-30. [2]李维国,夏术阶,朱轶勇,等.输尿管结石三种治疗方法的比较.临床泌尿外科杂志,2006,21(2):124-125. [3]刘齐贵,麻伟青,周庆余,等.输尿管结石的腔内钬激光治疗478例分析.中国误诊杂志,2007,7(2):304-306. [4]陈斌,郑涛,石洪波,等.钬激光对复杂输尿管结石的诊疗价值(附56例报告).临床泌尿外科杂志,2007,22(8):601-603. [5]Teichman JM, Vassar GJ, Glickman RD, et al. Holmium∶YAG lithotripsy:photothermal mechanism converts uricacid calculi to cyanide. J Urol,1998,160(2):320-324. [6]李学朝,刘迎,杨江根,等.输尿管镜下钬激光碎石术与气压弹道碎石术治疗输尿管结石的比较.中南大学学报(医学版),2005,30(5):601-603.