ESWL与URSL治疗输尿管下段结石的疗效比较 |
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引用本文: | 叶大文,顾恒,王昌兵,袁宇峰,李博.ESWL与URSL治疗输尿管下段结石的疗效比较[J].淮海医药,2013,31(3):205-207. |
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作者姓名: | 叶大文 顾恒 王昌兵 袁宇峰 李博 |
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作者单位: | 解放军第123医院泌尿外科,安徽蚌埠,233015 |
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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(URSL)治疗输尿管下段结石的疗效和安全性。方法总结ESWL和URSL治疗输尿管下段结石200例的临床资料,其中ESWL组105例,URSL组95例。结果 ESWL组的单次碎石成功率为61.9%(65/105),URSL组为94.7%(90/95);ESWL组术后4周的结石排净率为67.6%(71/105),URSL组为97.8%(88/90);比较2组疗效差异有显著性(P<0.05)。结论 URSL治疗输尿管下段结石疗效明显优于ESWL。
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关 键 词: | 体外冲击波碎石术 输尿管镜气压弹道碎石术 输尿管下段结石 |
Comparison of ESWL and URSL in the treatment of distal ureteral calculi |
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Institution: | YE Da-wen, GU Heng , WANG Chang-bing , et al. (Department of Urology, The No. 123 Hospital of the PLA ,Bengbu ,Anhui 233015, China) |
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Abstract: | Objective To compare the therapeutic effect and safety of extracorporeal shock wave lithotripsy (ESWL) and ure- teroscopic pneumatic lithotripsy( URSL) in the treatment of distal ureteral calculi. Methods Clinical data of 200 cases ( 105 with ESWL,95 with URSL ) for the treatment of distal ureteral calculi were analyzed. Results In the ESWL group, the single success rate for the lithotripsy was 61.9 % ( 65/105 ) while the rate was 94.7% ( 90/95 ) in the URSL group. The calculus clearance rate in the ESWL group was 67.6% ( 71/105 )four weeks after the operation, meanwhile the rate was 97.8% (88/ 90) in the URSL group. The difference had great significance( P 〈 0.05 ). Conclusion For the treatment of distal ureteral cal- culi, URSL has a better therapeutic effect than ESWL. |
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Keywords: | Extracorporeal shock wave lithotripsy(ESWL} Ureteroscopic pneumatic lithotripsyC URSL) Distal ureteralcalculi |
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