输尿管镜下气压弹道碎石术与体外冲击波碎石术治疗输尿管结石的疗效对比

罗春峰

（陕西省靖边县人民医院泌尿外科，陕西 榆林，718500）

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摘要：

目的 对比输尿管镜下气压弹道碎石术与体外冲击波碎石术治疗输尿管结石的疗效。方法 选择2013年10月至2016年2月我院收治的输尿管结石患者80例，根据治疗方法的不同分为观察组与对照组，各40例。观察组采用输尿管镜下气压弹道碎石术，对照组给予常规体外冲击波碎石术。比较两组患者的手术时间、住院时间、总医疗费用、结石清除成功率、结石 排净成功率。结果 观察组的手术时间、住院时间与总医疗费用分别为（32.36±4.88）min、（2.92±0.33）d、（8 116.2±151.3）元，而对照组分别为（55.25±4.12）min、（4.55±0.39）d 与（8 108.5±149.6）元，观察组的手术时间和住院时间明显短于对照组（P<0.05），两组总医疗费用比较无明显差异（P>0.05）。观察组的结石清除成功率为97.5%，明显高于对照组的82.5%（P<0.05）；随访1个 月，观察组的结石排净成功率为97.5%，也明显高于对照组的85.0%（P<0.05）。结论 相对于体外冲击波碎石术，输尿管镜下气压弹道碎石术治疗输尿管结石能减少患者创伤，提高结石清除成功率与结石排净成功率，有很好的应用价值。

关键词：输尿管镜；气压弹道碎石术；体外冲击波碎石术；输尿管结石

中图分类号：R693.4文献标志码：A文章编号：2096-1413(2017)01-0053-02

Comparative study of under ureteroscope pneumatic lithotripsy and extracorporeal shock wave lithotripsy

in the treatment of ureteral calculi
LUO Chun-feng
(Department of Urinary Surgery, People s Hospital of Jingbian County, Yulin 718500, China)

ABSTRACT: Objective To compare the effect of under ureteroscope pneumatic lithotripsy and extracorporeal shock wave lithotripsy in the treatment of ureteral calculi. Methods Eighty cases of patients with ureteral calculi from October 2013 to February 2016 in our hospital were selected and divided into observation group and control group according to different treatment methods, with 40 cases in each group. The observation group received under ureteroscope pneumatic lithotripsy treatment, while the control group received extracorporeal shock wave lithotripsy treatment. The operation time, hospital stay, total medical cost and the success rate of stone clearance and stone-free of the two groups were compared. Results The operation time, hospital stay and total medical cost in the observation group were (32.36±4.88) min, (2.92±0.33) d, (8 116.2±151.3) yuan, while in the control group were (55.25±4.12) min, (4.55±0.39) d and (8 108.5±149.6) yuan. The operation time and hospital stay in the observation group were obviously shorter than those in the control group (P<0.05), however, there was no significant difference in total medical cost between the two groups (P>0.05). The success rate of stone clearance in the observation group was higher than that in the control group (97.5% vs. 82.5%) (P<0.05). One month follow up, it showed that the success rate of stone-free in the observation group was higher than that in the control group (97.5% vs. 85.0% ) (P<0.05). Conclusion Compared with extracorporeal shock wave lithotripsy, the under ureteroscope pneumatic lithotripsy can reduce the trauma and improve the success rate of stone clearance and stone-free.

KEYWORDS: ureteroscope; pneumatic lithotripsy; extracorporeal shock wave lithotripsy; ureteral calculi

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