摘要
目的分析急诊体外冲击波碎石术(ESWL)和择期ESWL治疗输尿管结石的效果。方法选取2018年1月至2018年12月我院收治的输尿管结石患者78例,以均等双盲划分法分为观察组(急诊ESWL)和对照组(择期ESWL)各39例,观察两组的疗效。结果观察组的结石排净率及碎石成功率分别为94.87%、 97.44%,高于对照组的79.49%、 84.62%(P <0.05)。观察组再次疼痛率为5.13%,低于对照组的20.51%(P <0.05)。两组的并发症发生率比较无统计学差异(P <0.05)。结论急诊ESWL与择期ESWL治疗输尿管结石的并发症发生率相近,但前者能提高碎石成功率和结石排净率,减少再次疼痛发生,值得推广。
Objective To analyze the effects of emergency extracorporeal shock wave lithotripsy(ESWL) and selective ESWL in the treatment of ureteral calculi. Methods 78 cases of patients with ureteral calculi admitted to our hospital from January 2018 to December2018 were selected and divided into observation group(emergency ESWL) and control group(selective ESWL) by equal double-blind method, with 39 cases in each group. The curative effects of the two groups were observed. Results The stone-free rate and the success rate of lithotripsy in the observation group were 94.87% and 97.44% respectively, higher than 79.49% and 84.62% in the control group(P <0.05).The recurrent pain rate of the observation group was 5.13%, lower than 20.51% of the control group(P <0.05). No statistical difference was found in the incidence of complications between the two groups(P >0.05). Conclusions Emergency ESWL and selective ESWL have similar incidence of complications in the treatment of ureteral calculi, but the former can improve the success rate of lithotripsy and the stone-free rate, and reduce the recurrent pain, which is worthy of promotion.
作者
彭友彬
刘新城
杨镜秋
林洁斌
PENG Youbin;LIU Xincheng;YANG Jingqiu;LIN Jiebin(Department of Urology,the Second Affiliated Hospital of Shantou University Medical College,Shantou 515041,China)
出处
《临床医学工程》
2020年第5期557-558,共2页
Clinical Medicine & Engineering
关键词
输尿管结石
体外冲击波碎石术
择期手术
急诊
碎石成功率
Ureteral calculi
Extracorporeal shock wave lithotripsy
Selective surgery
Emergency
Success rate of lithotripsy
