摘要
目的:探讨对输尿管结石治疗方法如何进行选择。方法:对经ESWL、输尿管镜下气压弹道碎石术(URSL)及输尿管切开取石术3种方法、治疗的360例输尿管结石患者的疗效进行比较。结果:ESWL174例,碎石率为90.3%,URSL150例,一次碎石率为92.2%,手术切开输尿管取石36例,取石成功率100%。输尿管镜失败改切开取石12例(8%);ESWL失败改切开取石或输尿管镜下气压弹道碎石56例(32.2%)。结论:URSL治疗输尿管结石可以避免开放手术对患者造成的痛苦,减少术后并发症,但也不能盲目采用;对于复杂性输尿管结石,开放手术仍是可供选择的重要的治疗手段。
Objective:To compare the three treatments of ureteral calculi. Methods:The treatment of 360 cases of ureteral calculi were compared by ESWL, ballistic lithotripsy and open surgery. Results: 174 cases were treated by ESWL(48.3 % ), 150 cases were treated by ballistic lithotripsy(41.7% ), 36 cases were treated by open surgery ( 10 % ), 12 cases(8 % ) were obliged to accept the open surgery because the ballistic lithotripsy was failure. 56 cases (32.2%) were obliged to accept ballistic lithotripsy or open surgery because of ESWL failure. Conclusions:The micro-invasive surgery to remove ureteral calculi can avoid pain in patients, and decrease the difficulty of operation and perioperative complications. But the open surgery is still of great use for complicated stone.
出处
《临床泌尿外科杂志》
2007年第4期270-271,共2页
Journal of Clinical Urology
关键词
输尿管结石
碎石术
外科手术
Ureteral calculi
Lithotripsy
Open surgery