摘要
目的:比较输尿管镜气压弹道碎石术(URSL)与ESWL治疗输尿管结石的疗效及副作用。方法:分别使用URSL与ESWL治疗输尿管结石患者各200例,治疗后应用腹部平片或B超评估其疗效,随访3个月,了解结石清除率,观察并记录治疗后并发症。结果:URSL有效率为91.5%,明显高于ESWL治疗者的总有效率73.5%(P<0.01);其中上段结石有效率87.72%,低于ESWL的93.33%(P<0.05),中下段结石有效率93%,明显高于ESWL的65%(P<0.01);其肾绞痛、恶心、呕吐、发热低于后者(P<0.05)。接受URSL的患者1.5%有输尿管穿孔。结论:URSL治疗输尿管结石的疗效优于ESWL;URSL较适合于输尿管中、下段结石的治疗,而ESWL较适合于输尿管上段结石的治疗。
Objective:To investigate the efficacy and side effects of ureteroscopic pneumatic lithotripsy(URSL) and extracorporeal shock-wave lithotripsy(ESWL) in the treatment of ureteric calculi.Methods:During January 2003 and March 2004, 400 patients with ureteral calculi were divided into two groups randomly and treated respectively with URSL or ESWL; The therapeutic efficacy was evaluated by plain abdominal fime (KUB) or ultrasound after lithotripsy; All cases were followed up for 3 months. The side effects were also recorded.Results:The total efficacy rate of the URSL group and ESWL group were 91.5% and (73.5)% respectively. The difference was of great significance (P<(0.01)). While The efficacy rate of the upper ureteric calculi treated with URSL was poor than that of ESWL group ((87.72)% versus (93.33)%, P<(0.05)). On the other hand, the efficacy rate of URSL in the middle and lower ureteric calculi group was 93%,which is much higher than that of ESWL group (65%, P<(0.01)). The side effects sush as kidney colic, nausea, vomiting, fever in URSL group was lower than that in ESWL group(P<(0.05)). URSL has risk of ureter perforation.Conclusions:For the management of ureteric calculi, URSL has a higher stone free rate, URSL is suitable for the patients with middle and lower ureteric calauli, ESWL is the treatment of choice for patients with upper ureteric calculi.
出处
《临床泌尿外科杂志》
2005年第6期326-327,330,共3页
Journal of Clinical Urology
关键词
输尿管结石
输尿管镜气压弹道碎石术
体外冲击波碎石术
Ureteric calculi
Ureteroscopic pneumatic lithotripsy
Extracorporeal shock-wave lithotripsy
