CAJ | 학술논문

目的：比较输尿管镜气压弹道碎石术( PL)与体外震波碎石术( ESWL)治疗输尿管中下段结石的疗效和安全性。方法对2216例输尿管中下段结石患者经输尿管镜下气压弹道碎石术(PL)和体外震波碎石(ESWL)治疗的临床疗效及并发症进行比较。结果 PL组单次碎石成功率93.2%，ESWL组为56.1%，差异有统计学意义(P<0.05)；PL组4周后结石排净率为97.0%， ESWL组为67.8%(P<0.05)。术后疼痛、发热、恶心呕吐、血尿是两组常见的并发症，PL组术后疼痛、发热发生率低，分别为3.6%、3.0%，两组比较，差异有统计学意义(P<0.05)。结论输尿管镜气压弹道碎石术治疗输尿管中下段结石的疗效明显优于ESWL。
목적：비교수뇨관경기압탄도쇄석술( PL)여체외진파쇄석술( ESWL)치료수뇨관중하단결석적료효화안전성。방법대2216례수뇨관중하단결석환자경수뇨관경하기압탄도쇄석술(PL)화체외진파쇄석(ESWL)치료적림상료효급병발증진행비교。결과 PL조단차쇄석성공솔93.2%，ESWL조위56.1%，차이유통계학의의(P<0.05)；PL조4주후결석배정솔위97.0%， ESWL조위67.8%(P<0.05)。술후동통、발열、악심구토、혈뇨시량조상견적병발증，PL조술후동통、발열발생솔저，분별위3.6%、3.0%，량조비교，차이유통계학의의(P<0.05)。결론수뇨관경기압탄도쇄석술치료수뇨관중하단결석적료효명현우우ESWL。
Objective To compare the therapeutic effect and safety of ureteroscopic pneumatic lithotripsy (PL) and extracorporeal shock-wave lithotripsy (ESWL) in the treatment of middle and lower ureteral calculi. Methods The clinical effect and incidence of complications of PL and ESWL in the treatment of 2216 cases of middle and lower ureteral calculi were compared. Results The single stone clearance rate of PL group and ESWL group was 93.2%, 56.1%, respectively (P<0.05). The stone free rate of PL group and ESWL group in 4 weeks was 97.0%, 67.8%, respectively (P<0.05). The common complications occurred in both groups in-cluded postoperative pain, fever, nausea and vomiting, and hematuresis. The incidences of postoperative pain and fever in the PL group were lower, which was 3.6%and 3.0%, respectively, the differences between the two groups were statistically significant ( P<0.05). Conclusion For middle and lower ureteral calculi, the efficacy of ureteroscopic pneumatic lithotripsy is significantly better than that of ESWL.