论文部分内容阅读
目的探讨输尿管镜下气压弹道碎石术(URSL)前行体外冲击波碎石(ESWL)对输尿管中下段结石的治疗效果。方法选取2012年至2013年肾盂积水轻中度的输尿管中下段结石患者48例,结石直径1.0~1.5 cm,其中入院前2周内行ESWL者23例为碎石组,未行ESWL者25例为未碎石组,两组均行URSL术治疗,比较两组治疗效果。结果碎石组与未碎石组手术时间分别为31.96、42.96 min,术后并发症发生率分别为17.4%、31.4%,两组比较差异均有统计学意义(P<0.05)。结论合理选择URSL手术患者,术前配合ESWL治疗,可明显减少手术时间及术后并发症,增加手术成功率,对输尿管中下段结石的治疗有一定参考意义。
Objective To investigate the effect of ureteroscopic pneumatic lithotripsy (URSL) on extracorporeal shock wave lithotripsy (ESWL) in the treatment of lower ureteral calculi. Methods Forty-eight patients with mild to moderate hydronephrosis of the ureter during 2012 to 2013 with stones of 1.0 to 1.5 cm in diameter were enrolled. Among them, 23 patients underwent ESWL within 2 weeks before admission for the gravel group and 25 patients who did not undergo ESWL For the non-gravel group, both groups were treated with URSL, the treatment effect was compared between the two groups. Results The operation time of gravel group and non - gravel group were 31.96 and 42.96 min, respectively. The incidences of postoperative complications were 17.4% and 31.4% respectively. There was significant difference between the two groups (P <0.05). Conclusions Reasonable choice of patients with URSL surgery, preoperative ESWL treatment, can significantly reduce the operation time and postoperative complications, increase the success rate of surgery, the lower ureteral calculi in the treatment of a certain reference value.