摘要
目的观察经输尿管镜气压弹道碎石治疗输尿管结石的临床效果。方法回顾性分析我院2015年1月~2017年1月收治入院的200例行输尿管结石术患者的临床资料,根据治疗方法不同分为观察组和对照组,各100例。观察组采用经输尿管镜气压弹道碎石治疗,对照组采用体外冲击波碎石术。评估观察两组患者治疗中的一次性碎石成功率、治疗满意度、手术时间、住院时间及并发症等情况。结果观察组的手术时间、住院时间均明显短于对照组,差异有统计学意义(P<0.05)。观察组的一次性碎石成功率、满意度等指标均显著高于对照组,差异有统计学意义(P<0.05)。观察组的并发症总发生率为10.0%,低于对照组的27.0%,差异有统计学意义(P<0.05)。结论经输尿管镜气压弹道碎石治疗输尿管结石安全、有效,结石清除率高,操作时间短,值得临床应用。
Objective To observe the clinical efficacy of pneumatic lithotripsy in the treatment of ureteral calculi under ureteroscope. Methods The clinical data of 200 patients undergoing ureteral calculi admitted to our hospital from January 2015 to January 2017 were retrospectively analyzed. The data were divided into the observation group and the control group according to different treatment methods. Patients in the observation group were performed with ureteroscopic pneumatic lithotripsy, and patients in the control group were treated with extracorporeal shock wave lithotripsy.The success rate of lithotripsy for once, treatment satisfaction, operation time, hospital stay, and complications during treatment were evaluated and compared in the two groups. Results In the observation group, the operation time and hospital stay were both shorter compared with those in the control group with statistical differences（P〈0.05）. The success rate of lithotripsy for once and satisfaction in the observation group were both higher than those in the control group with significant differences（P〈0.05）. The total incidence of complications in the observation group was 10.0%,which was lower than 27.0% in the control group with statistical significance（P〈0.05）. Conclusion Pneumatic lithotripsy is safe and effective in the treatment of ureteral calculi, with high stone clearance rate and short operation time,which is worthy of clinical application.
作者
高杰陶
古嘉媚
申囡
GA;GUJia-mei;SHEN Nan(Department of Surgery,Dongkeng Hospital of Dongguan City in Guangdong Province,Dongguan 523451,China;Community Health Service Center of Dongkeng Town of Dongguan City in Guangdong Province,Dongguan 523450,China)
出处
《中国当代医药》
2018年第21期70-72,共3页
China Modern Medicine
