Peschel R, Janetschek G, Bartsch G
Department of Urology, University of Innsbruck, Austria.
J Urol. 1999 Dec;162(6):1909-12. doi: 10.1016/S0022-5347(05)68066-4.
We performed a prospective randomized study to determine appropriate first line treatment for distal ureteral stones.
Between January 1996 and October 1997, 80 patients with distal ureteral stones (40 smaller than 5 mm. and 40 larger than 5 mm.) were randomized and treated with extracorporeal shock wave lithotripsy or ureteroscopy with a 9.5 or 6.5F semirigid ureteroscope.
Ureteroscopy was significantly better in terms of operative time, fluoroscopy time and time to achieve a stone-free state. The smaller the stones, the greater the difference between the 2 treatment modalities.
For distal ureteral stones we recommend ureteroscopy as first line treatment.
我们进行了一项前瞻性随机研究，以确定输尿管下段结石的合适一线治疗方法。
在1996年1月至1997年10月期间，80例输尿管下段结石患者（40例结石小于5毫米，40例结石大于5毫米）被随机分组，分别接受体外冲击波碎石术或使用9.5F或6.5F半硬性输尿管镜进行输尿管镜检查。
在手术时间、透视时间和达到无结石状态的时间方面，输尿管镜检查明显更优。结石越小，两种治疗方式之间的差异越大。
对于输尿管下段结石，我们推荐输尿管镜检查作为一线治疗方法。
