输尿管镜、ESWL与哈乐3种方法治疗输尿管下段结石疗效比较

Preliminary comparison on three methods of ureteroscope,ESWL and harnal in the treatment of lower ureteral calculi

目的:探讨输尿管镜、ESWL、哈乐3种方式治疗输卵管下段结石的效果。方法:收治输尿管下段结石患者552例,对其临床治疗方式进行综合性评估。结果:ESWL组一次碎石成功率低于URL组(P<0.05),哈乐组排石成功率90.6%(48/53)。结论:输尿管镜碎石术是治疗输尿管下段结石的一种高效、安全的治疗手段;哈乐的排石效果大体与输尿管镜相当,并且可以很好地缓解疼痛;输尿管镜碎石术与哈乐药物治疗较ESWL有更高的碎石成功率及结石排净率。

Objective:To investigate the effect of three methods of ureteroscope,ESWL and harnal in the treatment of lowerureteral calculi.Methods:552 patients with lower ureteral calculi were selected,then we evaluated the clinical treatment taken bythem comprehensively.Results:The success rate of ESWL group was lower than that of the PL group(P<0.05),and the success rateof harnal group was 90.6% (48/53).Conclusions:Ureteroscopic lithotripsy is a kind of efficient,safe treatment on lower ureteralcalculi;stone removal effect in harnal and ureteroscopy has generally effect,and can relief the pain very well;both ureteroscopiclithotripsy and harnal drug treatment have more high broken stone row of stone rate and the net rate than ESWL.