蒋科

[摘要] 目的 探究输尿管镜下气压弹道碎石术的临床治疗效果，为临床治疗输尿管结石提供可靠依据。 方法 随机选取该院2013年9月—2015年4月住院部50例输尿管结石患者进行研究，所有患者采取均采取输尿管镜下气压弹道碎石术治疗（研究组），并选取同期50例采取体外冲击波碎石术治疗的患者进行对比（对照组），分析两组患者治疗总有效率、一次性碎石成功率、并发症情况及患者满意度。 结果 两组患者治疗后总有效率对比，研究组为98.00%，对照组为86.00%，差异有统计学意义（P<0.05）；研究组一次性碎石成功率明显高于对照组，差异有统计学意义（P<0.05）；两组患者术后恢复良好，研究组出现1例轻微腹胀，两组均无明显并发症出现。调查显示研究组患者总满意率明显高于对照组，差异有统计学意义（P<0.01）。 结论 输尿管镜下气压弹道碎石术治疗输尿管结石明显优于体外冲击波碎石术，其治疗总有效率高，可明显提升一次性碎石成功率，且并发症少，安全可行，患者满意度高，可进行临床推广及应用。

[关键词] 输尿管镜下气压弹道碎石术；体外冲击波碎石术；一次性碎石成功率；总有效率

[中图分类号] R693.405 [文献标识码] A [文章编号] 1674-0742（2015）09（a）-0036-02

Clinical Research on Pneumatic Ballistic Lithotripsy via Nephroscope in 50 Cases

JIANG Ke

Department of Urinary Surgery， Liyang People's Hospital， Liyang， Jiangsu Province， 213300 China

[Abstract] Objective To explore the clinical curative effect of pneumatic ballistic lithotripsy via nephroscope and provide a reliable basis for clinical treatment of ureteral calculi. Methods 50 inpatients with ureteral calculi in our hospital between September 2013 and April 2014 as the study group and other 50 patients in the same period as control group were enrolled and were treated with either pneumatic ballistic lithotripsy via nephroscope or extracorporeal shock-wave lithotripsy. The overall effective rates， one-time success rates of lithotripsy， complications， patient's satisfaction were compared between the two methods. Results The overall effective rate（98.00% vs 86.00%） and one-time success rate of lithotripsy with higher in the study group than in the control group， and there were statistically significant differences between the two groups（P<0.05）. Good recovery was obtained in both the two groups with 1 case of mild abdominal pain and none complication. Research showed that the total satisfaction rate was higher in the study group than in the control group with statistically significant difference（P<0.01）. Conclusion Pneumatic ballistic lithotripsy via nephroscope， which shows higher overall effective rate， one-time success rate of lithotripsy， less complications， safety and reliability， is superior to extracorporeal shock-wave lithotripsy in treating ureteral calculi， and

输尿管结石是患者尿盐晶体随着尿液排入膀胱时，由于输尿管狭窄、有异物等因素，导致尿液滞留与感染使得晶体形成输尿管结石，该病多数来源于肾脏，输尿管下段结石较为多见，可引起梗阻以及扩张积水，病情严重者甚至危及患者肾脏器官，使得患者肾脏功能丧失[1]。输尿管镜下气压弹道碎石术（URSL）具有创伤小、操作简单、安全有效等优势，渐渐广泛应用于治疗输尿管结石疾病中，且成为体外冲击波碎石术治疗失败后患者治疗的首选方法[2]。为探究输尿管镜下气压弹道碎石术的临床治疗效果，为临床治疗输尿管结石提供可靠依据。2013年9月—2015年4月随机选取100例输尿管结石患者进行输尿管镜下气压弹道碎石术与体外冲击波碎石术治疗对比研究，取得良好结果，报道如下。……