[1]章璟,王国增,石泉,等.急诊输尿管镜钬激光碎石与体外冲击波碎石治疗输尿管结石并急性肾绞痛的疗效比较[J].中华腔镜泌尿外科杂志(电子版),2009,(04):312-315.
　ZHANG Jing,WANG Guo-zeng,SHI Quan,et al.Comparison of efficacy between emergency ureteroscopic holmium laser lithotripsy and extracorporeal shock wave lithotripsy in man agement of ureteral stones with acute renal colic[J].,2009,(04):312-315.
点击复制

急诊输尿管镜钬激光碎石与体外冲击波碎石治疗输尿管结石并急性肾绞痛的疗效比较()
分享到：

中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2009年04期
页码:
312-315
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Comparison of efficacy between emergency ureteroscopic holmium laser lithotripsy and extracorporeal shock wave lithotripsy in man agement of ureteral stones with acute renal colic
作者:
章璟；王国增；石泉；李健；郑景存；马杰；姜宁
上海市浦东新区公利医院泌尿外科,200135
Author(s):
ZHANG Jing; WANG Guo-zeng; SHI Quan; LI Jian; ZHENG Jing-cun; Ma Jie; JIANG Ning
关键词:
输尿管结石; 急性肾绞痛; 输尿管镜; 体外冲击波碎石
摘要:
目的 比较急诊输尿管镜钬激光碎石(URL)与急诊体外冲击波碎石(ESWL)两种方法治疗输尿管结石引起的急性肾绞痛的疗效.方法 2006年1月至2008年9月,采用Storz 8/9 F硬质输尿管镜、钬激光碎石机和Dornier Compact S型低能量电磁式碎石机分别急诊治疗输尿管结石并肾绞痛175例和110例.所有病例均先行药物治疗症状无缓解后在急诊初诊12 h之内接受急诊URL或急诊ESWL.结果 对于输尿管上段结石,术后疼痛缓解率URL组虽优于ESWL组(93.94%和66.67%,P<0.05),但碎石成功率(84.85%和83.33%,P>0.05)及二周结石排净率(81.8 1%和77.78%,P>0.05)均无显著差异.而对于输尿管中下段结石,术后疼痛缓解率(98.59%和92.39%)、碎石成功率(98.59%和91.30%)以及二周结石排净率(97.18%和94.78%)URL组均优于ESWL组(P<0.05).最大径10 mm以内的结石URL组碎石成功率优于ESWL组(96.38和88.10%,P<0.05).最大径10 mm以上的结石,术后疼痛缓解率及2周排净率URL组均优于ESWL组(97.30%和69.23%,9 1.89%和61.23%,P<0.05).URL及ESWL组并发症率分别为3.46%和2.73%(P>0.05).结论 急诊URL和急诊ESWL均是输尿管结石并急性肾绞痛的安全、有效的治疗方法,对于输尿管上段结石或最大径不超过10 mm的结石二者效果相当,而对于输尿管中下段结石或直径大于10 mm的结石米说,URL疗效优于ESWL.

相似文献/References:

[1]吴希庆,杨建新,张博智.后腹腔镜与经腰背途径输尿管切开取石手术疗效比较[J].中华腔镜泌尿外科杂志(电子版),2007,(01):40.
　WU Xi-qing,YANG Jian-xin,ZHANG Bo-zhi.Comparison of surgical outcome between retroperitoneal laparoscopic and lumbarstraight incision ureterolithotomy[J].,2007,(04):40.
[2]李炯明,陈戬,刘建和,等.第11肋间入路经皮肾取石术治疗嵌顿性输尿管上段结石(附375例报告)[J].中华腔镜泌尿外科杂志(电子版),2007,(02):73.
　LI Jiong-ming,CHEN Jian,LIU Jian-he,et al.Treatment of Impacted Upper Ureteral Stones by minipercutaneous nephrolithotomy via the 11th Intercostal Access(375 cases report)[J].,2007,(04):73.
[3]石磊,高振利,姜仁慧,等.经皮肾镜气压弹道联合超声碎石清石的并发症防治[J].中华腔镜泌尿外科杂志(电子版),2007,(02):76.
　SHI Lei,GAO Zhen-li,JIANG Ren-hui,et al.Prevention and treatment of complications of combined pneumatic and ultrasoud lithotripsy during percutaneous nephrolithotomy[J].,2007,(04):76.
[4]陈光,谢广静,朱光炜,等.后腹腔镜输尿管切开取石术30例报告[J].中华腔镜泌尿外科杂志(电子版),2007,(02):100.
　CHEN Guang,XIE Guang-jing,ZHU Guang-wei,et al.Retroperitoneal laparoscopic ureterolithotomy:Report of 30 cases[J].,2007,(04):100.
[5]赵永斌,胡卫列,吕军,等.输尿管镜钬激光碎石术中并发输尿管穿孔原因及对策[J].中华腔镜泌尿外科杂志(电子版),2008,(01):45.
[6]谢广静,陈光,沈思,等.输尿管镜钬激光碎石术治疗输尿管结石536例报告[J].中华腔镜泌尿外科杂志(电子版),2008,(02):135.
　XIE Guang-jing,CHEN Guang,SHEN Si,et al.A clinic alanalysis of ureteroscopic holmium laser lithotripsy for ureteral stones:report of 536 cases[J].,2008,(04):135.
[7]黄永新,黎志辉.输尿管硬镜气压弹道碎石治疗输尿管结石疗效分析[J].中华腔镜泌尿外科杂志(电子版),2008,(02):143.
　HUANG Yong-xin,LI Zhi-hui.Pneumatic lithotripsy via rigid uerteroscopy for the treatment of ureteric stone:Report of 185 cases[J].,2008,(04):143.
[8]宋方闻,钟惟德.输尿管镜气压弹道碎石术治疗输尿管结石[J].中华腔镜泌尿外科杂志(电子版),2008,(04):37.
　SONG Fang-wen,ZHONG Wei-de.Clinical research of ureteral calculi treated with pneumatic lithotripsy through transurethral rigid ureteroscope[J].,2008,(04):37.
[9]侯宇川,卢绩,姜凤鸣,等.输尿管镜钬激光碎石治疗引起急性肾衰的输尿管结石[J].中华腔镜泌尿外科杂志(电子版),2009,(01):15.
　HOU Yu-chun,LU Ji,JIANG Feng-ming,et al.Holmium laser lithotripsy for treating ureteral calculi combined with acute renal failure: a clinical report of 23 cases '[J].,2009,(04):15.
[10]曹明奎,张亚东,张征荣,等.输尿管镜下国产钬激光碎石取石术治疗输尿管结石(附124例报告)[J].中华腔镜泌尿外科杂志(电子版),2009,(02):36.
　CAO Ming-kui,ZHANG Ya-dong,ZHANG Zhen-rong,et al.Clinical experience of ureterolithotomy with the domestic holmium laser for ureteral calculi (124 cases report)[J].,2009,(04):36.

更新日期/Last Update: 1900-01-01