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目的探讨输尿管末端结石单纯药物排石,体外碎石,或输尿管镜取石何种方法最佳,以及如何选择治疗方法及时机。方法一年半间我科门诊和住院患者经CT、B超、KUB诊断最大径不超过0.8cm的输尿管末端结石的临床资料。对比单纯排石、体外碎石和输尿管镜钬激光碎石或取石治疗疗效和治疗周期。结果 28例单纯排石治疗的成功率为46.4%,排石周期为(11.3±6.8)d。体外碎石组患者34例,碎石成功率为58.8%,排石周期为(10.05±6.22)d,输尿管镜取石病例53例,成功率为92.2%。平均住院日(6.82±3.34)d。结论无症状的输尿管末端结石首先考虑药物排石治疗,体外碎石有助于结石的排出和缓解症状,保守治疗超过两周失败的患者应行输尿管镜取石术。
Objective To explore the best end-ureteral calculi drug delivery stone, extracorporeal lithotripsy, or ureteroscopic lithotomy, and how to choose the treatment method and timing. Methods A year and a half between our outpatient and inpatient CT, B-ultrasound, KUB diagnosis of the largest diameter of not more than 0.8cm of ureteral calculi in the clinical data. Comparison of simple row of stone, extracorporeal lithotripsy and ureteroscopic holmium laser lithotripsy or stone treatment efficacy and treatment cycle. Results The success rate of simple row stone therapy in 28 cases was 46.4% and rowing stone cycle was (11.3 ± 6.8) d. In the group of 34 patients with extracorporeal gravel, the success rate of gravel was 58.8%, the row of stone was (10.05 ± 6.22) d, ureteroscopic stone removal was performed in 53 cases, the success rate was 92.2%. The average length of stay (6.82 ± 3.34) d. Conclusions Asymptomatic ureteral calculi is the first choice of drug therapy. Extro-lithotripsy can help relieve stones and relieve symptoms. Patients who have failed conservative therapy for more than two weeks should undergo ureteroscopic lithotripsy.