دراسة فعالية الهولميوم ليزر في تفتيت حصيات الحالب تنظيرياً
Abstract
شملت الدراسة 114 مريضاً لديه حصاة حالب مشخصة ، راجعوا مشفى الأسد الجامعي في اللاذقية بين عامي 2011-2012 .
خضع 105 مرضى منهم للتفتيت بالهولميوم ليزر عبر التنظير .
وكانت الاستجابة العلاجية بحسب موقع الحصاة على الشكل الآتي :
81.82% بالنسبة لحصيات الحالب العلوية
96.67% بالنسبة لحصيات الحالب المتوسطة
98.44% بالنسبة لحصيات الحالب السفلية .
وبالآتي كانت الاستجابة العلاجية الكلية 96.19% من مجمل حصيات الحالب .
وبحسب حجم الحصاة كانت الاستجابة العلاجية على الشكل الآتي :
95.59% بالنسبة للحصيات ذات الحجم أكبر من 1 سم.
97.30% بالنسبة للحصيات ذات الحجم أصغر من 1 سم .
من حيث المضاعفات كانت في دراستنا قليلة جدا أقل من 4% .
كما قمنا بمقارنة نتائجنا بخمس دراسات عالمية وأشرنا إلى مواقع التوافق معها .
The study involved 114 patients who had ureter stones. The patients came toAl-Assad University Hospitalduring 2011-2012.105 of the patients had endoscopic lithotripsy of the ureter with holmium laser.
The successful treatment was 81.82% in the proximal ureter stones; 96.67% in the mid ureter stones; and 98.44% in the distal ureter Stones. The totalsuccessful treatmentsof all ureter stones was 96.19%.
According to the size of stones, the successful treatment was 95.59% in the <1cm stones, and 97.30% in the>1cm stones. Complications in this study were rare<4%.
The results obtained in this study were compared to five international studies, and points of compatibility were pointed out.
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