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输尿管镜检查与原位体外冲击波碎石术治疗输尿管下段结石的对比研究

[Ureteroscopy versus in situ extracorporeal shockwave lithotripsy in the treatment of calculi of the distal ureter].

作者信息

Leblanc B, Paquin J M, Valiquette L, Perreault J P, Faucher R, Mauffette F, Benard F

机构信息

Départment de Chirurgie, Université de Montréal, Montréal, Canada.

出版信息

Prog Urol. 1996 Aug-Sep;6(4):535-8.

PMID:8924928
Abstract

In a retrospective study from a unique center (St. Luc Hospital, Montreal) stone clearance of 88 consecutive distal ureteral calculi (below pelvic brim) treated by extracorporeal shock wave lithotripsy in situ were compared to a group of 94 distal ureteral calculi treated by ureteroscopy during the same period. Our results show 84% success rate for ureteroscopy which is clearly superior than 58% stone clearance rate at 3 month follow-up for ESWL Success rate was influenced by stone size in the ESWL group but not in the ureteroscopy group. This study reveals similar success rate for calculi smaller than 6 mm but for larger calculi, success rate of ureteroscopy is significantly superior.

摘要

在一项来自一个独特中心(蒙特利尔圣卢克医院)的回顾性研究中,将连续88例通过原位体外冲击波碎石术治疗的远端输尿管结石(骨盆边缘以下)的结石清除情况,与同期94例通过输尿管镜检查治疗的远端输尿管结石组进行了比较。我们的结果显示,输尿管镜检查的成功率为84%,这明显高于体外冲击波碎石术在3个月随访时58%的结石清除率。体外冲击波碎石术组的成功率受结石大小影响,而输尿管镜检查组则不受影响。这项研究表明,对于小于6毫米的结石,成功率相似,但对于较大的结石,输尿管镜检查的成功率明显更高。

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1
[Ureteroscopy versus in situ extracorporeal shockwave lithotripsy in the treatment of calculi of the distal ureter].输尿管镜检查与原位体外冲击波碎石术治疗输尿管下段结石的对比研究
Prog Urol. 1996 Aug-Sep;6(4):535-8.
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