体外冲击波碎石术和输尿管镜气压弹道碎石术在上尿路结石中的应用  

Comparison of ureteroscope pneumatic lithotripsy and extracorporeal shock-wave lithotripsy for upper urinary tract calculi

作　　者：杨东明[1] 王小勇[1] 赖建新[1] 詹尚新 

机构地区：[1]惠州市中医院,广东惠州516001

出　　处：《中外医学研究》2012年第4期18-19,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的比较体外冲击波碎石术(ESWL)与输尿管镜气压弹道碎石术(URSL)治疗上尿路结石的临床疗效。方法选择上尿路结石患者120例,随机分为ESWL组60例,URSL组60例,比较两组的临床疗效及并发症情况。结果 URSL组结石一次性清除率、有效率显著高于ESWL组,再次手术率显著低于ESWL组,两组比较差异有统计学意义(P<0.01)。URSL组肾绞痛、恶心呕吐、发热发生率显著低于ESWL组,血尿发生率显著高于ESWL组,差异有统计学意义(P<0.01或P<0.05)。结论 UREL治疗上尿路结石疗效可靠,并发症少,是临床治疗首选手段。Objective To discuss the clinical effect of URSL and ESWL in upper urinary tract calculi. Methods 120 patients with upper urinary tract calculi were randomly divided into two groups ： ESWL group （ 60 cases） and URSL group （ 60 cases）, compared the clinical effect and complications. Results The one - time stone clearance rate of the URSL group was significantly higher than the ESWL group （ P 〈 0. 05 ）, and it＇s reoperation rate was significantly lower than the ESWL group （ P 〈 0. 05 ）. The incidence of renal colic, nausea, vomiting and fever in the URSL group was significantly lower than the ESWL group, and the occurrence rate of hematuria in the former was higher than that in the ESWL group （ P 〈 0. 05 ）. Conclusion URSL is effective and with fewer complication in the treatment of upper urinary tract calculi it is the first choice of treatment for patients with upper urinary tract calculi.

关 键 词：体外冲击波碎石 输尿管镜气压弹道碎石 上尿路结石 

分 类 号：R699[医药卫生—泌尿科学]