CAJ | 학술논문

目的：分析输尿管镜联合碎石清石系统（ EMS）超声气压弹道碎石术在输尿管结石治疗中的应用效果。方法选择2011年2月至2013年2月平南县第二人民医院收治的输尿管结石患者66例，采用随机抽签法分为两组：对照组（36例）给予体外冲击波碎石术进行治疗，研究组（30例）给予输尿管镜联合EMS超声气压弹道碎石术进行治疗，观察对比两组患者的临床疗效。结果研究组手术时间、术中出血量及术后住院时间均显著少于对照组，差异有统计学意义（ P＜0.01）。研究组总有效率高于对照组[90.0％（27／30）比69.4％（25／36）]（P＜0.05）；研究组患者术后并发症发生率低于对照组（P＜0.05）。结论与体外冲击波碎石术相比，输尿管镜联合 EMS 超声气压弹道碎石术临床治疗效果更显著，且术后并发症发生率较低，是治疗输尿管结石的理想术式。
목적：분석수뇨관경연합쇄석청석계통（ EMS）초성기압탄도쇄석술재수뇨관결석치료중적응용효과。방법선택2011년2월지2013년2월평남현제이인민의원수치적수뇨관결석환자66례，채용수궤추첨법분위량조：대조조（36례）급여체외충격파쇄석술진행치료，연구조（30례）급여수뇨관경연합EMS초성기압탄도쇄석술진행치료，관찰대비량조환자적림상료효。결과연구조수술시간、술중출혈량급술후주원시간균현저소우대조조，차이유통계학의의（ P＜0.01）。연구조총유효솔고우대조조[90.0％（27／30）비69.4％（25／36）]（P＜0.05）；연구조환자술후병발증발생솔저우대조조（P＜0.05）。결론여체외충격파쇄석술상비，수뇨관경연합 EMS 초성기압탄도쇄석술림상치료효과경현저，차술후병발증발생솔교저，시치료수뇨관결석적이상술식。
Objective To analyze and observe the clinical application effects of ureteroscopy combined with ultrasound pneumatic lithotripsy in the treatment for ureteral stones.Methods A total of 66 cases of ureteral calculi admitted in Pingnan County Second People′s Hospital from Feb.2011 to Feb.2013 were divided into study group(n =30) and control group(n =36) by randomly drawing.Patients in the control group received extracorporeal shock wave lithotripsy treatment,and patients in the study group were treated with ureteroscopy combined with ultrasound pneumatic lithotripsy .Clinical effects of the two groups were observed and compared.Results The operative time,intraoperative blood loss and postoperative hospitaliza-tion time of the study group were significantly lower than those of the control group ,there were statistically significant differences(P<0.01).The total effective rate of lithotripsy of the study group was higher than that of the control group [90.0%(27/30) vs 69.4%(25/36)](P<0.05);besides,the incidence of post-operative complications of the study group was lower than that of the control group(P<0.05).Conclusion Compared with extracorporeal shock wave lithotripsy,ureteroscopy combined with ultrasound pneumatic litho-tripsy has better clinical outcomes and lower incidence of postoperative complications that it is an ideal treat-ment for ureteral calculi.