输尿管镜下气压弹道碎石术与体外冲击波碎石术治疗输尿管结石的对比研究.docVIP

精品论文 参考文献 输尿管镜下气压弹道碎石术与体外冲击波碎石术治疗输尿管结石的对比研究 黄建团 黄建谋 程修 （陆丰市人民医院 广东省汕尾市 516500） 【摘要】目的：对比输尿管镜下气压弹道碎石术（URSL）与体外冲击波碎石术（ESWL）对输尿管结石的临床治疗效果。方法：选取我院泌尿外科收治的输尿管结石患者120例，随机分为ESWL组和URSL组各60例。ESWL组患者采用体外冲击波碎石术进行治疗，URSL组患者采用输尿管镜下气压弹道碎石术进行治疗。术后3个月，对其临床疗效进行对比。结果：URSL组的患者在治疗中段和下段输尿管结石的有效率为93.33%，明显高于ESWL组的68.97%；而在治疗上段输尿管结石的有效率上，ESWL组患者的有效率为90.32%，明显高于URSL组的66.67%，其差异均有统计学意义（P＜0.05）。结论：体外冲击波碎石术对于输尿管上段结石的治疗效果较好，而对于输尿管中下段的结石，输尿管镜下气压弹道碎石术具有更好的治疗效果。临床上应该根据患者的具体情况，灵活运用两种治疗方法，以获得最优的临床疗效。 【关键词】输尿管镜下气压弹道碎石术 体外冲击波碎石术 输尿管结石 疗效 【中图分类号】R693+.4【文献标识码】A【文章编号】2095-1752（2013）03-0116-02 Comparison of ureteroscopic pneumatic ballistic lithotripsy and extracorporeal shock wave lithotripsy in treatment of ureteral calculi Huang Jiantuan Huang Jianmou Cheng Xiu The Peoples Hospital of Lufeng, Shanwei City, Guangdong Province, 516500 【Abstract】Objective: To compare the clinical effect of ureteroscopic pneumatic ballistic lithotripsy (URSL) and extracorporeal shock wave lithotripsy (ESWL) in treatment of ureteral calculi. Methods: 120 patients with ureteral calculi were selected in our hospital, they were randomly divided into ESWL group and URSL group with 60 cases in each group. The patients in the ESWL group were treated by extracorporeal shock wave lithotripsy, while the patients in the URSL group were treated by ureteroscopic pneumatic ballistic lithotripsy. After 3 months, the clinical curative effect of both groups was compared. Results: The positive rate of middle and lower ureteral stones in URSL group was 93.33%, significantly higher than that in ESWL group (68.97%). The positive rate of upper ureteral calculi in URSL group was 90.32%, significantly higher than that in URSL group (66.67%), the differences were statistically significant ( P lt; 0.05 ). Conclusion: Extracorporeal shock wave lithotripsy shows good effect in the treatment of proximal ureteral stones, to the middle and lower ureteral stones, ureteroscopic pneumatic ballistic lithotripsy has a bette