不同腔内方法治疗膀胱结石的疗效观察

目的：研究Punch碎石钳碎石和U100激光碎石治疗膀胱结石的安全性及有效性，并进一步比较两种碎石方法的有效性差异。方法：回顾性分析82例膀胱结石患者临床资料，其中Punch碎石钳碎石43例，U100激光碎石39例。结果：碎石成功率U100激光组（97．2％）较碎石钳组（62．8％）显著性增高，差异有统计学意义（P〈0．01）。直径在2．5cm以上结石，U100激光组较碎石钳组碎石效率及成功率均明显增高，差异有显著统计学意义（P〈0．05）。结论：对直径1．5cm以下结石，Punch碎石钳与U-100激光在碎石效果方面差异无统计学意义。对直径2．5cm以上结石，推荐首选U-100激光。U100激光碎石联合TURP是治疗BPH并膀胱结石的安全、有效的方法。

Efficacy Analysis of Two Lithotripsy in Treating Bladder Calculus

Objective:To evaluate the therapeutic effect and safety of U100-plus laser and punch lithotripsy for treatment of bladder calculus.Method:A total of 82 cases of bladder calculus were reviewed.Including 43 cases treated with Punch,and 39 cases treated with U100 laser.Result:The achievement ratio which is 97.2%for U100 laser lithotripsy on treatment of bladder calculus is higher than punch which is 62.8%,P<0.05.The therapeutic effects of two lithotripsy is same for bladder calculus which diameter is under 1.5 cm(P>0.05).U100 laser lithotripsy more effects than punch which diameter of bladder calculus is larger than 2.5 cm(P<0.05).Conclusion: U100-plus laser lithotripsy has the same therapeutic effect as punch,which diameter of bladder calculus is under 1.5 cm,and recommended Preferred U100-plus Laser which diameter of bladder calculus is larger than 2.5 cm.