摘要
目的 比较体外冲击波碎石术 (ESWL)与输尿管镜气压弹道碎石术 (pneumaticlithotripsy ,PL)治疗输尿管下段结石的疗效和安全性。 方法 总结ESWL和PL治疗输尿管下段结石 3 75例的临床资料 ,其中ESWL组 190例 ,PL组 185例。结果 ESWL组单次碎石成功率为 60 .5 %(115 /190 ) ,PL组为 96.2 %(178/185 ) ;ESWL组术后 4周结石排净率为 66.3 %(12 6/190 ) ,PL组为 98.3 %(175 /178)。结论 PL治疗输尿管下段结石的疗效明显优于ESWL。
Objective To contrast the therapeutic effect and safety of extracorporeal shock wave lithotripsy(ESWL)and ureteroscopy pneumatic lithotripsy(PL)in the treatment of distal ureteral calculi.Methods To investigated the clinical material of the treatment of distal ureteral calculi,190 patients with ESWL,185 patients with PL.Result In ESWL group 60.5% patients were successful on the first lithotripsy,96.2% in PL group;following ESWL 66.3% patients become stone free in 4 weeks,after PL the stone free rate was 98.3%.Conclusion For the treatment of distal ureteral calculi,ureteroscopy pneumatic lithotripsy has a higher stone free rate than ESWL. [
出处
《临床外科杂志》
2004年第10期628-629,共2页
Journal of Clinical Surgery