体外冲击波碎石术、输尿管镜气压弹道碎石术治疗输尿管上段结石对比分析  

Contrastive Analysis of ESWL and URSL for the Treatment fo Upper Ureter Calculi

作　　者：高海东[1] 李亚军[1] 宋琳[1] 

机构地区：[1]陕西榆林市第一医院绥德院区泌尿外科,陕西榆林718000

出　　处：《中国伤残医学》2014年第21期3-4,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨体外冲击波碎石术与输尿管镜气压弹道碎石术治疗输尿管上段结石的临床效果和安全性。方法：选取输尿管上段结石患者63例，随机分为A、B 2组。 A组患者给予体外冲击波碎石术，B组患者给予输尿管镜气压弹道碎石术，对比2组患者治疗效果和不良反应发生情况。结果： B组患者1个月和3个月时治疗效果明显优于 A组（B组：70．97％和93．55％，A组：56．25％和75．00％），2组比较差异有统计学意义（P＜0．05）。2组患者不良反应发生总数差别无统计学意义（ P＞0．05）。结论：与ESWL相比 URSL治疗输尿管上段结石效果更好，总不良反应发生率无统计学差异。Objective：To explore the clinical effect and security of ESWL and URSL for the treatment of upper ureter calculi. Methods：66 cases with upper ureter calculi were randomly divided into group A and group B, group A were given ESWL, and group B were given URSL.The clinical effect and occurrence of adverse reaction were observed.Results：the clinical effects of group B af-ter treated 1 month and 3 month were significantly better than that of group A （70.97%and 93.55%VS 56.25%and 75.00 %）, the differences were statistically significant （P〈0.05）.The study revealed no difference in total occurrence of adverse reaction （P〉0.05） .Conclusion：ESWL relatively better than URSL in treating upper ureter calculi, the total occurrence of adverse reaction showed no difference.

关 键 词：体外冲击波碎石 输尿管镜气压弹道碎石 输尿管上段结石 

分 类 号：R693[医药卫生—泌尿科学]