Title: Comparative Study on Treatment of Urinary Calculus with Holmium:YAG Laser and Pneumatic Lithotripsy
Abstract: [Objective] To compare the efficacy and safety of Holmium:YAG laser lithotripsy and pneumatic lithotripsy in the treatment of urinary calculus.[Methods] Thirty six urinary calculus patients were treated with Holmium:YAG laser lithotriptor from Oct 2005 to Feb 2007 in our unit.All of them,159 cases were ureteral calculi,and 23 cases were bladder calculi.A retrospective comparison of the efficacy and safety was made between Holmium:YAG laser lithotrips and pneumatic lithotrips.[Results]One hundred and fourty-eight cases among 159 cases of ureteral calculus(93.1%)were treated successfully with Holmium:YAG laser lithotripsy only once,and was higher than that of pneumatic lithotripsy(68.0%,87/128)(P0.01).The successful fragmentation rate of bladder stones in a single session of the Holmium:YAG laser lithotripsy group was higher than that of the Pneumatic lithotripsy group(91.3%vs.31.3%,P0.01).No major complication has been observed in Holmium:YAG laser lithotripsy whereas 2 perforations were encountered in pneumatic lithotripsy group.[Conclusion] Treatment of urinary calculus with Holmium:YAG laser lithotriptor is effective and safe,especially for ones with ureter polyps and failure of ESWL.
Publication Year: 2007
Publication Date: 2007-01-01
Language: en
Type: article
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