经尿道输尿管镜气压弹道碎石术治疗输尿管结石分析  

Analysis of transurethral ureteroscopic pneumatic lithotripsy in the treatment of ureteral calculus

作　　者：李育财 

机构地区：[1]广东省惠东县第二人民医院,516351

出　　处：《中国实用医药》2016年第34期36-38,共3页China Practical Medicine

摘　　要：目的探索经尿道输尿管镜气压弹道碎石术用于输尿管结石治疗中的效果。方法 126例输尿管结石患者,根据治疗方法的不同将患者分为观察组(65例)和对照组(61例)。观察组患者采用经尿道输尿管镜气压弹道碎石术治疗,对照组患者采用体外冲击波碎石术治疗。比较两组患者一次性结石清除率、二次手术率以及并发症发生率。结果观察组患者的一次性结石清除率为96.92%,明显高于对照组的86.89%;二次手术率为1.54%,明显低于对照组的11.48%,差异均具有统计学意义(P<0.05)。观察组患者的肾绞痛、恶心呕吐、发热发生率分别为7.69%、15.38%、20.00%,均低于对照组的21.31%、37.70%、40.98%,差异具有统计学意义(P<0.05);但观察组患者的血尿发生率为58.46%,高于对照组的34.43%,差异具有统计学意义(P<0.05)。结论经尿道输尿管镜气压弹道碎石术治疗输尿管结石是可行的、安全的,结石清除率高,术后并发症少,有助于患者术后的康复,在符合该术式适应证的情况下,可优先选择。Objective To investigate effect by transurethral ureteroscopic pneumatic lithotripsy in the treatment of ureteral calculus. Methods A total of 126 patients with ureteral calculus were divided by different treatment measures into observation group（65 cases） and control group（61 cases）. The observation group received transurethral ureteroscopic pneumatic lithotripsy for treatment, and the control group received extracorporeal shock wave lithotripsy instead for treatment. Comparison was made on one-time calculus clearance rate, secondary operation rate and incidence of complications between the two groups. Results The observation group had obviously higher one-time calculus clearance rate as 96.92% than 86.89% in the control group, and its secondary operation rate was much lower as 1.54% than 11.48% in the control group. Their difference had statistical significance（P〈0.05）. The observation group had incidences of renal colic, nausea and vomiting, and fever respectively as 7.69%, 15.38% and 20.00%, which were all lower than 21.31%, 37.70% and 40.98% in the control group, and the difference had statistical significance（P〈0.05）. The observation group had higher incidence of hematuresis as 58.46% than 34.43% in the control group, and their difference had statistical significance（P〈0.05）. Conclusion Transurethral ureteroscopic pneumatic lithotripsy is feasible and safe in treating ureteral calculus, along with high calculus clearance rate and few complications. This method is helpful for postoperative rehabilitation in patients. It can be applied as the preferred method in accordance with operative indications.

关 键 词：经尿道输尿管镜气压弹道碎石术 体外冲击波碎石术 输尿管结石 并发症 

分 类 号：R699.4[医药卫生—泌尿科学]