体外冲击波碎石与输尿管镜钬激光碎石治疗急诊输尿管结石的临床对比研究  

Effect comparison between extracorporeal shock wave iithotripsy and ureteroscope holmium laserlithotripsy in emergency patients with ureteral calculi

作　　者：黄明坦[1] 叶泽兵[1] 梁国挺[1] 覃海森[1] 李晓峰[1] 

机构地区：[1]广东省第二人民医院急诊外科,广州510317

出　　处：《中国医师进修杂志》2012年第24期20-22,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的比较体外冲击波碎石（ESWL）与输尿管镜钬激光碎石（URL）治疗急诊输尿管结石的临床疗效。方法回顾性分析240例急诊输尿管结石患者的临床资料，其中行急诊ESWL 110例（ESWL组），急诊URL 130例（URL组）。结果URL组与ESWL组一次性碎石成功率分别为90．0％（117／130）和88．2％（97／110），术后2周结石清除率分别为80．8％（105／130）和75．5％（83／110），两组比较差异无统计学意义（P〉0．05）；ESWL组输尿管上段结石的一次性碎石成功率及术后2周结石清除率分别为93．1％（54／58）及77．6％（45／58），显著优于URL组的84．3％（59，70）及70．0％（49／70）（P〈0．05）；URL组输尿管中下段结石的一次性碎石成功率及术后2周结石清除率分别为96．7％（58／60）和93．3％（56／60），显著优于ESWL组的82．7％（43／52）和73．1％（38／52）（P〈0．05）。结论ESWL与URL治疗急诊输尿管结石均有良好的疗效，对于输尿管上段结石，ESWL疗效更佳，对于输尿管中下段结石，URL疗效更佳。Objective To compare the clinical effects of extracorporeal shock wave lithotripsy （ESWL） and ureteroscope holmium laser lithotripsy （URL） in emergency patients with ureteral calculi. Methods Two hundred and forty emergency patients with ureteral calculi were retrospectively analyzed, including 110 patients undergoing ESWL （ESWL group） and 130 patients undergoing URL （URL group）. Results The success rate of fragmentation and calculi-free rate were 90.0% （117/130） and 80.8% （105/130） in URL group,of which were 88.2% （97/110） and 75.5% （83/110） in ESWL group with no significant difference between two groups （P〉 0.05）. The success rate of fragmentation and calculi-free rate of upper ureter in ESWL group were much better than those in URL group [93.1% （54/58） vs. 84.3% （59/70）, 77.6% （45/58） vs. 70.0% （49/70）, P 〈 0.05 ], those of middle-lower ureter in URL group were much better than those in ESWL group [96.7% （58/60） vs. 82.7% （43/52）,93.3% （56/60） vs. 73.1% （38/52） ,P 〈 0.05 ]. Conclusion ESWL and URL both have good curative effects in emergency patients with ureteral calculi, and ESWL has better effects for upper ureter while URL for middle-lower ureter.

关 键 词：输尿管结石 输尿管镜 体外冲击波碎石 

分 类 号：R699.4[医药卫生—泌尿科学]