摘要
目的:比较传统气压弹道碎石术与改进后的气压弹道碎石术的疗效和安全性。方法:总结应用输尿管镜技术治疗40例输尿管结石患者临床资料,其中传统方法21例,新方法19例。结果:新方法单次碎石率94.74％,高于传统方法的61.90％。P<0.05。新方法碎石术平均排尽时间15d,短于传统气压弹道碎石术的25d,P<0.05。新方法无明显并发症,传统方法有8例发生结石上移入肾盂而改开放手术。新方法碎石过程平均5～20min,短于传统10～40min。结论:新方法的有效率、安全性及手术时间优于传统方法,新方法气压弹道碎石术是治疗输尿管结石的一种安全高效的方法。
Objective: To compare the efficacy and safety of endoscopic pnumatic lithotripsy ( PL) and improved pnumatic lithotripsy (IPL) for ureteral stones. Methods: From feb 2001 to Jul 2003, 40 consecutive patients under went lithotripsy either with PL (21 cases) or with IPL (19 cases) for the treatment of ureteral stones. Results; The single session overall successful rate of stone fragmentation of IPL was higher than that of PL (94. 74% vs 61. 90% , P <0. 05) . The average stone freetime was shorter for IPL ( 15 days vs 25 days, P < 0. 05). The average operational time was shorter for IPL (5 - 20min vs 10 -40min). Conclusions: IPL has its advantage over PL in high efficiency of stone fragmentation and low complication rate and operational time and is an effective and safe treatment modality for ureteral stones.
出处
《黔南民族医专学报》
2003年第3期136-137,共2页
Journal of Qiannan Medical College for Nationalities
