经皮肾镜超声气压弹道碎石治疗上段输尿管嵌顿性结石的研究(1)
经皮肾镜超声气压弹道碎石治疗上段输尿管嵌顿性结石的研究,输尿管结石,经尿道输尿管镜,超声气压弹道碎石The,study,of,the,outcomes,pati
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【摘要】目的探讨经皮肾镜超声气压弹道碎石治疗上段输尿管嵌顿性结石的安全性与有效性。方法86例患者随机分为两组：A组45例，经尿道输尿管镜气压弹道碎石；B组41例，经皮肾镜超声气压弹道碎石。结果A组手术成功36例(80.00%)，手术时间(35±15.5)min，碎石时间(25±12.5)min，住院时间(7±2.6)d，无石率82.22%，8例需ESWL辅助治疗，出现手术并发症3例(6.67%)。B组手术成功41例(100.00%)，手术时间(40±16.5)min，碎石时间(15±10.5)min，住院时间(9±2.5)d，无石率100.00%，无手术并发症发生。两组手术成功率、结石清除率比较差异有统计学意义。结论经皮肾镜超声气压弹道碎石较经尿道输尿管镜气压弹道碎石术处理输尿管上段嵌顿性结石具有更高的手术成功率与术后无石率，安全性与有效性更好，处理输尿管上段嵌顿性结石更为优越。
【关键词】输尿管结石；经尿道输尿管镜；经皮肾镜；超声气压弹道碎石The study of the outcomes of patients with impacted upper ureteric calculus treated by percutaneous nephroscope set combining ultrasound and pneumatic lithotripsy WANG Jin-shan. Yishui Central Hospital,Yishui 276400,China
【Abstract】ObjectiveTo explore the safety and efficiency of patiences with impacted upper ureteric calculus treated by percutaneous nephroscope set combining ultrasound and pneumatic lithotripsy,and to find a more desirable method for this disease ......
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