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目的探讨输尿管下段结石患者采用输尿管镜气压弹道碎石术治疗的效果及其安全性。方法对驻马店市中心医院2012年3月至2013年3月收治的80例输尿管下段结石患者的资料进行了回顾性分析,将确诊的患者分为对照组和观察组,每组各有患者40例。对照组患者采取体外冲击波碎石术进行治疗,观察组采取输尿管镜气压弹道碎石术进行治疗,比较两组在治疗之后的效果及其并发症的发生情况。结果从单次碎石成功率来看,对照组为62.5%,观察组为92.5%;从术后4周结石排净率来看,对照组为75.0%,观察组为97.5%,两组患者比较均差异具有统计学意义(P<0.05)。结论在治疗输尿管下段结石方面,输尿管镜气压弹道碎石术在成功率、结石排净率、安全性等方面均优于体外冲击波碎石术,可获得良好的疗效,具有临床推广价值。
Objective To investigate the efficacy and safety of ureteroscopic pneumatic lithotripsy in patients with lower ureteral calculi. Methods The data of 80 patients with lower ureteral stones admitted from March 2012 to March 2013 in Zhumadian Central Hospital were retrospectively analyzed. The patients were divided into control group and observation group, with 40 patients in each group . Patients in the control group were treated with extracorporeal shock wave lithotripsy. The observation group was treated by ureteroscopic pneumatic lithotripsy. The effects and complications of the two groups after treatment were compared. Results From the single gravel success rate, the control group was 62.5%, the observation group was 92.5%; from 4 weeks after the stone discharge rate, the control group was 75.0%, the observation group was 97.5%, the two groups of patients All the differences were statistically significant (P <0.05). Conclusion In the treatment of lower ureteral calculi, ureteroscopic pneumatic lithotripsy is superior to ESWL in terms of success rate, stone removal rate and safety, and has good curative effect and clinical value.