改良式体外碎石法与常规碎石法疗效比较

Comparsion between effectivness of ureteric calculi treated by improved ESWL and that traditional ESWL

目的:比较改良式体外碎石法与常规碎石法疗效治疗输尿管结石的结石粉碎率、排净率、并发症及电容耐用程度。方法:输尿管结石患者600例,随机分为改良组与常规组。结果:改良组结石两次粉碎率96%(288/300),0.05,常规组结石两次粉碎率84%(252/300);两组患者术后1个月的结石排净率分别为92%和80%,0.05,改良组与常规组的并发症分别为0.66%和4.0%,相同电容改良组和常规组冲击次数分别为1.5和1.0万次,0.05。结论:通过改进及增加体外碎石机及电容的使用方法,明显提高碎石疗效,提高电容的耐用与功效,减少材耗、提高效率,是临床首选的碎石方法。

Objective：To compare the effectiveness of ureteric calculi treated by improved ESWland that by traditional ESWL.Methods：600 cases of ureteric calculi were Randomly assigned to two groups：The improved ESWLgroup（n=300） and the traditional ESWL group （n=300）;Results：For ureteric calculi resulted in a stone-free rate in traditional ESWL group was 84% while 96% in improved group, 0.05.Stone-free rate a month later in traditional group and in improved group was 80% and 92% respectively, 0.05. The impact of the improved group electric capacity of 15 000 times while in the traditional group was 10 000 time, 0.05;Conclusion： By improving and increasing the use of crusher and capacitance, It was obviously increased the curative effect, improved the durability of capacitance and efficacy, reduced material consumption, improved the efficiency, For the management of ureteric calculi ,Improved ESWL might be a first method