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中下段输尿管结石气压弹道碎石与ESWL的比较 被引量:3

A COMPARISON OF PNEUMATIC LITHOTRIPSY AND EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY IN THE TREATMENT OF MIDDLE AND LOWER URETERAL CALCULI
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摘要 探讨输尿管中下段结石的首选方法和适应证。方法 :对 2 6 0例输尿管中下段结石患者行TUPL和ESWL治疗 ,其中男 15 0例 ,女 110例。年龄 16~ 74岁 ,平均 40 .2岁 ,中段结石 80例 ,下段结石 180例 ,结石最小 4mm× 5mm ,最大 12mm× 2 5mm。结果 :TUPL组 1次碎石成功率为 96 .3% ,术中结石取净率 93 % ,3个月后结石排空率达 98.6 %。ESWL组 1次粉碎率 96 % ,粉碎排空率 74% ,3个月后结石排空率为 85 %。结论 :在设备技术条件具备的医院 ,对输尿管中下段结石可首选TUPL。 Objective:To determine the first line treatment and indication for middle and lower ureteral stones.Methods:260 patients (male=150,female=110) with middle and lower ureteral stones were treated with transurethral ureteroscopy pneumatic lithotripsy(TUPL) and extracorporeal shockwave lithotirpsy (ESWL).The patients of middle and lower ureteral stones were 80 and 180,respectively.Results:Success rate after initial treatmnet was 96.3%,stone-free rate was 93% in operation and stone-free was 98.6% after follwing up of 3 monthes in group of TUPL.The rate of fragment was 96% in the first ESWL,stone-free rate was 74% in post-ESWL and 85% after 3 monthes of ESWL.All successes were confirmed by plain abdominal X-rays postoperatively.Conclusions:We recommend TUPL as the first line treatment for middle and lower ureteral stones,when the hospitals have the suitable equipments and skills.
出处 《中国内镜杂志》 CSCD 2001年第4期2-20,23,共20页 China Journal of Endoscopy
关键词 内腔镜术 治疗 中下段输尿管结石 气压弹道碎石 ESWL 比较 Urinary calculi Ureter Endoscopy Treatment
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参考文献6

  • 1齐范,张向阳,刘立宇,唐正严,刘建辉,黄福溥.联合应用体外冲击波碎石及开放手术治疗上尿路复杂结石[J].中国现代医学杂志,1997,7(3):18-19. 被引量:5
  • 2于宏江,廖永强,彭正清.ESWL治疗后尿道结石18例[J].中国现代医学杂志,1997,7(8):72-72. 被引量:3
  • 3Strohmaier WL,Schubert G,Rosenkranz,T,et al.Comparison of extracorpereal shock wave lithotripsy and Ureteroscopy in the treatment of ureteral calculi:a prospective study.Eur Urol,1999;36:376~379
  • 4Peschel R,Janetschek G,Bartsch G,et al.Extracorporeal shock wave lithotripsy versus ureteroscopy for distal ureteral calculi:a prospective randomized study.J Urol,1999;162:1920~1921
  • 5Turk TM,Jenkins AD.A comparison of ureteroscopy to in situ extracorporeal shock wave lithotipsy for the treatment of distal calculi.J Urol,1999:2103~2104
  • 6Pace KT,Weir MJ,Tariq N,et al.low success rate of repeat shock wave lithotripsy for ureteral stones afer failed initial treatment.J Urol,2000;164:1950~1907

二级参考文献4

  • 1吴阶平.泌尿外科[M]山东科学技术出版社,1993.
  • 2吴阶平,马永江.实用泌尿外科学[M]人民军医出版社,1991.
  • 3郭应禄.腔内泌尿外科学[M]人民军医出版社,1995.
  • 4吴阶平,马永江.实用泌尿外科学[M]人民军医出版社,1991.

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