输尿管镜下气压弹道碎石术治疗输尿管中下段结石的临床效果分析

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Abstract ObjectiveTo analyze the clinical effect of ureteroscopic pneumatic lithotripsy (URSL)in the treatment of middle and lower ureteral calculi.M ethodsAltogether 50 patients with middle and lower ureteral calculi who were treated in our hospital from January 2015 to December 2016 were selected and divided into the case group(n=25)and the controlgroup(n=25)by drawing lots.The controlgroup wasgiven extracorporeal shock-wave lithotripsy(ESWL)treatment,while,the case group were treated with URSL.The treatment effect,the incidence rate of adverse reaction and quality of life (psychological functions,material life,physical functions and social functions)of the two groups were compared.ResultsThe total effective rate of the case group was 96%,which was significantly higher than 72%of the control group,with significant difference (P＜0.05).The incidence rate of adverse reactions in the case group was 8%,which was significantly lower than 32%in the control group,with significant difference(P＜0.05).The scores of psychological function,material life,physical function and social function in the case group was significantly higher than that in the control group,with significant difference(P＜0.05).ConclusionThe clinical effect of URSL in the treatment ofmiddle and lower ureteral calculi is remarkable,with significantly improved patients′conditions and one-time removal of ureteral calculi for obstruction relief,which improves renal functions and quality of life and has low incidence of adverse reactions and multiple advantages such asmore safety and feasibility,which isworth learning and promotion.

Key words： Ureteroscopic pneumatic lithotripsy Extracorporeal shock wave lithotripsy Middle and lower ureteral calculi Clinical efficacy

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	WAN Chang-hua

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WAN Chang-hua. Analysis of clinical effect of ureteroscopic pneumatic lithotripsy in the treatment ofm idd le and lower ureteral calculi[J]. 中国当代医药, 2017, 24(22): 54-56.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I22/54

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