摘要
目的:比较输尿管镜术(URSL)与体外冲击波碎石(ESWL)治疗输尿管远端结石的临床疗效。方法:对942例输尿管远端结石采用ESWL治疗,同期对234例直接行输尿管镜术治疗,将两组患者资料进行对比分析。结果:ESWL组成功治疗806例,136例失败者128例改URSL治疗成功,8例开放手术。URSL组治疗成功230例,4例开放手术。两组间结石排净率差异无统计学意义。结论:复杂输尿管结石的治疗首选URSL,ESWL失败后配合URSL治疗可提高复杂输尿管结石治愈率。
Objective To compare the efficacy of ureteroscopic lithotripsy（URSL） extracorporeal shockwave lithotripsy（ESWL） for distal ureteral calculi.Methods Eleven hundred and seventy-six patients with distal ureteral calculi were treated by URSL（n=234） and by ESWL（n=942）.The outcome of the 2 groups were compared and analyzed.Results In the ESWL group 806 cases were treated successfully, the other 136 cases after being failed with ESWL were treated well by URSL（128 cases） or open surgery（8 cases）.In the URSL group 230 cases were successful and 4 cases were treated by open surgery, the rate of success was 98.3%, with no significant statistical differences in stone-free rate between the two groups.Conclusion Ureteroscopic lithotripsy is treatment of choice for the patients with complicated stone, and can also improve the cure rate after failure of ESWL.
出处
《中国中西医结合外科杂志》
CAS
2010年第2期185-188,共4页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
关键词
输尿管结石
输尿管镜术
体外冲击波碎石
ureteral calculi
endoscopy
extracorporeal shock wave lithotripsy
