Comparative study of transurethral pneumatic cystolithotripsy and transurethral Ho: YAG laser cystolithotripsy in children with lower urinary tract stones

doi:10.3877/cma.j.issn.1674-3253.2019.05.011

Abstract

Abstract:

Objective

To evaluate the efficacy of transurethral pneumatic cystolithotripsy versus transurethral Ho: YAG laser cyslithotripsy in children with lower urinary tract stones.

Methods

The clinical data of 14 children treated with pneumatic cystolithotripsy (group A) and 30 children treated with Ho: YAG laser (group B) with lower urinary trackt stones in People's Hospital of Kashgar Area and Jiashi County People's Hospital from September 2016 to August 2017 were analyzed retrospectively.

Results

The stone free rate in group A was 93%, The mean operating time was (22±13) (range 7-45 min). Post-operatively one case needed stone extraction from the urethral outlet and one case needed catheterizasion because of urine retension. In group B, the stone free rate was 97%. The mean operating time was (26±14) (range 10-50 min). Post-operatively, one case needed second transurethral lithotripsy because of residual stone. There was no other serious complications in two groups. There was no significant difference in age, stone size, operation time, post-operative catheterizasion, hospitalization and complications between the two groups.

Conclusion

Both pneumatic and Ho: YAG laser lithotripsy for lower urinary tract stones in children were safe with high clearance rate and less complications.

Key words: Pneumatic, Ho: YAG laser, Lower urinary tract stones, Pediatric, Retrospective analysis

Batur Jesur, Wulamu Hairila, Reheman Rexiati, Abulaizi Alimujiang, Hai Xu, Hailiang Wang, Yongzhong He, Tuerxun Aierken. Comparative study of transurethral pneumatic cystolithotripsy and transurethral Ho: YAG laser cystolithotripsy in children with lower urinary tract stones[J]. Chinese Journal of Endourology(Electronic Edition), 2019, 13(05): 329-332.

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References 17

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组别	例数	年龄(岁，±s)	结石大小(mm，±s)	手术时间(min，±s)	术后导尿(d，±s)	住院时间(d，±s)	并发症(例)
气压弹道组	14	2.4±1.6	11.5±5.1	22±13	2.04±0.57	3.9±1.5	4
钬激光组	30	2.3±1.4	10.8±4.8	26±14	2.10±0.48	3.4±1.1	5
统计值	?	t=1.162	t=0.559	t=2.199	t=0.591	t=1.153	χ²=0.689
P值	?	0.806	0.562	0.459	0.699	0.255	0.495

组别	例数	年龄(岁，±s)	结石大小(mm，±s)	手术时间(min，±s)	术后导尿(d，±s)	住院时间(d，±s)	并发症(例)
气压弹道组	14	2.4±1.6	11.5±5.1	22±13	2.04±0.57	3.9±1.5	4
钬激光组	30	2.3±1.4	10.8±4.8	26±14	2.10±0.48	3.4±1.1	5
统计值	?	t=1.162	t=0.559	t=2.199	t=0.591	t=1.153	χ²=0.689
P值	?	0.806	0.562	0.459	0.699	0.255	0.495

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