CAJ | 학술논문

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.
목적:대비수뇨관경하기압탄도쇄석술(URSL)여체외충격파쇄석술(ESWL)대수뇨관결석적림상치료효과.방법:선취아원비뇨외과수치적수뇨관결석환자120례,수궤분위ESWL조화URSL조각60례.ESWL조환자채용체외충격파쇄석술진행치료,URSL조환자채용수뇨관경하기압탄도쇄석술진행치료.술후3개월,대기림상료효진행대비.결과:URSL조적환자재치료중단화하단수뇨관결석적유효솔위93.33﹪,명현고우ESWL조적68.97﹪;이재치료상단수뇨관결석적유효솔상,ESWL조환자적유효솔위90.32﹪,명현고우URSL조적66.67﹪,기차이균유통계학의의(P<0.05).결론:체외충격파쇄석술대우수뇨관상단결석적치료효과교호,이대우수뇨관중하단적결석,수뇨관경하기압탄도쇄석술구유경호적치료효과.림상상응해근거환자적구체정황,령활운용량충치료방법,이획득최우적림상료효.
Objective: To compare the clinical effect of ureteroscopic pneumatic balistic 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 balistic 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 statisticaly significant ( P < 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 balistic lithotripsy has a better efficiency.