输尿管镜、ESWL与ESWL联合哈乐治疗输尿管下段结石疗效比较  

Comparison of ESWL, ESWL and tamsulosin, ureteroscopic lithotripsy for lower ureteral calculi

作　　者：陈富刚 袁东波[2] 张伟[2] 单刚[2] 刘军[2] 王元林[2] 陈卫红[2] 孙兆林[2] 朱建国[2] 

机构地区：[1]贵州省职工医院,贵州贵阳550025 [2]贵州省人民医院泌尿外科,贵州贵阳550002

出　　处：《中国现代医学杂志》2016年第20期142-144,共3页China Journal of Modern Medicine

基　　金：贵州省科技厅基金(黔科合J字[2011]2254号);2012年贵州省科技厅联合基金(黔科合LS字[2012]006号);2012年贵州省科教青年英才培养工程(黔省专合字(2012)185号)

摘　　要：目的探讨输尿管镜碎石术(URSL)、体外冲击波碎石术(ESWL)与ESWL联合哈乐3种方法治疗输尿管下段结石的有效性、安全性。方法回顾性分析2012年6月-2013年12月期间354例输尿管下段结石患者的的临床资料。治疗方式为逆行输尿管镜(URSL)、体外冲击波碎石术(ESWL)与ESWL联合哈乐3种方法,其中URSL组128例,ESWL组73例,ESWL联合哈乐组153例,比较3种治疗方式的结石清除率。结果ESWL组一次碎石成功率为71.2%(52/73),ESWL联合哈乐组排石成功率为89.5%(137/153),URSL组一次碎石成功率为97.6%(125/128)。结论 ESWL组一次碎石成功率较高,哈乐可提高ESWL排石效果并且可以缓解疼痛。输尿管镜碎石术是治疗输尿管下段结石的一种高效、安全的治疗手段;输尿管镜手术是ESWL与哈乐排石失败后的输尿管下段结石适宜的处理方法。Objective To evaluate clinical efficacy of ESWL, ESWL and tamsulosin, ureteroscopic lithotripsy for lower ureteral calculi. Methods From June 2012 to December 2013, 354 patients with lower ureteral calculi were retrospectively reviewed. Patients were treated in the three methods in our hospital, and the three methods were analyzed and compared. Results The stone-free rate of ESWL was 71.2%, ESWL and tamsulosin were 89.5%, and URSL was 97.6%. Conclusions Tamsulosin combined with ESWL is safe and effective in enhancing stone clearance in patients with lower ureteral calculi. Ureteroscopic removal of lower ureteral stones achieves a greater stone-free state, and a better invasive method for failed therapy tamsulosin with ESWL.

关 键 词：输尿管镜 ESW 哈乐 输尿管下段结石 

分 类 号：R693.4[医药卫生—泌尿科学]