腔内弹道碎石与体外冲击波碎石治疗输尿管下段结石比较

• 作 者: 孙永昌 朱静 沈小东 谢凯
• 机 构: 武汉铁路分局汉口医院泌尿外科!湖北武汉430010,同济医科大学附属同济医院泌尿外科!湖北武汉430030,武汉铁路分局汉口医院泌尿外科!湖北武汉430010,同济医科大学附属同济医院泌尿外科!湖北武
• 出 处: 铁道医学
• 发表日期: 2000年04期
• 关键词: 输尿管下段结石 冲击波 内弹道 碎石 气压弹道碎石 输尿管镜 结石者 多发性结石 输尿管镜技术 气压弹道碎石机

目的　探讨腔内弹道碎石及体外冲击波碎石治疗输尿管下段结石的术后结石排空率。方法　对 42 8例输尿管下段结石患者分别采用输尿管镜下腔内气压弹道碎石和体外冲击波碎石进行治疗。结果　腔内弹道碎石组术后结石排空率为 96 .7% ;体外冲击波碎石 (ESWL)组术后结石排空率为 84.7%。结论　ESWL治疗输尿管下段结石具有痛苦小、并发症少等优点 ,但术后结石排空率不及腔内弹道碎石 ,特别是当结石大于 1.0cm或单侧多发性结石或双侧结石者 ,采用腔内弹道石是较好的治疗方法

Objective To investigate the postoperative stone emptying rate of intraoral ballistic lithotripsy and extracorporeal shock wave lithotripsy in the treatment of lower ureteral calculi. Methods Forty-eight patients with lower ureteral calculi underwent ureteroscopic pneumatic lithotripsy and extracorporeal shock wave lithotripsy. Results The rate of stone emptying after intra-tracheal lithotripsy was 96.7%. The stone emptying rate after ESWL was 84.7%. Conclusion ESWL treatment of lower ureteral calculi with little pain, fewer complications, but the postoperative stone emptying rate than the intracavitary ballistic lithotripsy, especially when the stone is more than 1.0cm or unilateral multiple stones or bilateral stones, the use of Intra-cavity ballistic stone is a better treatment