摘要
目的:探讨小切口与体外冲击波碎石术(ESWL)治疗输尿管结石的优缺点。方法:输尿管结石患者186例,分为两组,采用小切口(小切口组)治疗104例,ESWL(ESWI组)治疗82例,比较两组患者结石的治愈率、并发症的发生及费用使用情况。结果:ESWL组、小切口组患者术后1个月内的结石排净率分别为63.4%和95.2%;ESWL组再次治疗率高(11.0%),但再次治疗的结石排净率为86.6%,2次ESWL平均总费用为3012.2元。小切口组主要并发症为漏尿(26.9%)、输尿管狭窄(0.29%),治疗总费用为3221.6元。结论:小切口治疗输尿管结石的疗效优于ESWL。
Objective： To investigate the advantages and disadvantages of the treatment of ureteral stones using extracorporeal shock wave lithotripsy （ESWL）and small incision. Methods： One hundred and eight-six patients with ureteral stones were divided into group A and group B according to the approaches of treatment. 104 patents in group A were treated using small incision surgery, 82 patients in group B were treated using ESWL. Cure rates, complications and costs in the two group were compared. Results： Two weeks after treatment, the elimination rates of ureteral stones in group A and group B were 63.4% and 95.2% respectively. The major complication of group B was high rate of re-treatment （11.0%）, the elimination rate of ureteral stones was 86.6% after retreatment. The average total cost in group B was 3 012.2 yuan RMB. The major complications of group A were urine leakage（26.9% ） and ureteral stenosis（0.29% ）, the total cost was 3 221.6 yuan RMB. Conclusion： Treating ureteral stones using small incision has better effect than that using ESWL.
出处
《海南医学院学报》
CAS
2009年第1期54-55,57,共3页
Journal of Hainan Medical University
关键词
输尿管结石
碎石术
外科手术
体外冲击波碎石术
小切口
Ureteral stones
Lithotripsy
Surgical procedures,operative
Extracorporeal shock wave lithotripsy（ESWL）
Small incision
