Izamin I, Aniza I, Rizal A M, Aljunid S M
Department of Community Health, Universiti Kebangsaan Malaysia Medical Centre, 56000 Cheras, Kuala Lumpur.
Med J Malaysia. 2009 Mar;64(1):12-21.
Extracorporeal shockwave lithotripsy (ESWL) and ureteroscopy (URS) are two main methods of treating proximal ureteric stones. Success rates and cost-effectiveness of the two methods were compared. A total of 67 patients who underwent treatment between January 2007 and July 2007 at a state general hospital were included in the study. The success rate for ESWL group was 81.8% and for URS group was 84.6%. ESWL technique produced a significant higher overall cost per patient than URS (RM930.02 versus RM621.95 respectively). There was no significant difference in quality of patient's life. Cost-effectiveness ratio was lower for URS. The analysis suggested that URS was more cost-effective than ESWL.
体外冲击波碎石术（ESWL）和输尿管镜检查（URS）是治疗近端输尿管结石的两种主要方法。对这两种方法的成功率和成本效益进行了比较。共有67例在2007年1月至2007年7月期间于一家国立综合医院接受治疗的患者纳入该研究。ESWL组的成功率为81.8%，URS组的成功率为84.6%。ESWL技术产生的每位患者的总体成本显著高于URS（分别为930.02林吉特和621.95林吉特）。患者生活质量方面无显著差异。URS的成本效益比更低。分析表明URS比ESWL更具成本效益。
