气压弹道碎石术前配合体外冲击波碎石对输尿管中下段结石的疗效  

Efficacy of the preoperative treatment of ESWL for URSL on middle and lower ureteral calculi

作　　者：王鸿[1] 何长海[1] 

机构地区：[1]河南省南阳市第一人民医院泌尿外科,南阳473010

出　　处：《临床医学》2016年第3期23-24,共2页Clinical Medicine

摘　　要：目的探讨输尿管镜下气压弹道碎石术（URSL）前行体外冲击波碎石（ESWL）对输尿管中下段结石的治疗效果。方法选取2012年至2013年肾盂积水轻中度的输尿管中下段结石患者48例,结石直径1.0~1.5 cm,其中入院前2周内行ESWL者23例为碎石组,未行ESWL者25例为未碎石组,两组均行URSL术治疗,比较两组治疗效果。结果碎石组与未碎石组手术时间分别为31.96、42.96 min,术后并发症发生率分别为17.4%、31.4%,两组比较差异均有统计学意义（P〈0.05）。结论合理选择URSL手术患者,术前配合ESWL治疗,可明显减少手术时间及术后并发症,增加手术成功率,对输尿管中下段结石的治疗有一定参考意义。Objective To investigate the effect of the preoperative treatment of extracorporeal shock wave lithotripsy（ ESWL）for pneumatic lithotripsy under ureterscope（ URSL） on middle and lower ureteral calculi. Methods From 2012 to 2013,48 patients with middle and lower ureteral calculi（ about 1. 0- 1. 5 cm in diameter） were selected,and 23 cases were treated by ESWL 2 weeks before admission as the gravel group,while 25 cases were not with ESWL as the no gravel group,the two groups were treated by URSL,the effects of the two groups were compared. Results The mean operation duration of the two groups was31. 96 minutes and 42. 96 minutes,the incidence rate of postoperative complications was 17. 4% and 31. 4%,the differences were significant between the two groups（ P 〈 0. 05）. Conclusion Selecting the proper surgical cases of URSL and giving the preoperative treatment of ESWL can significantly reduce the operation duration and postoperative complications,and improve the success rate of surgery,it can provide some references for the treatment of middle and lower ureteral calculi.

关 键 词：输尿管结石 气压弹道碎石术 体外冲击波碎石术 

分 类 号：R699[医药卫生—泌尿科学]