上尿路结石规范化治疗的临床研究  

A clinical study of the standardized treatment of upper urinary tract stones

作　　者：顾燕[1] 贺伟[1] 王国增[1] 章璟[1] 杨佳伟[1] 叶祯 叶敏[2] 

机构地区：[1]上海市浦东新区公利医院泌尿外科,上海200135 [2]上海市交通大学附属新华医院泌尿外科

出　　处：《临床泌尿外科杂志》2012年第10期777-781,共5页Journal of Clinical Urology

基　　金：上海市浦东新区科技发展基金(编号PKJ2007-Y25)

摘　　要：目的:探讨上尿路结石规范化治疗临床应用的可行性。方法:规范化治疗1 071例(实验组),774例常规治疗(对照组),将两组碎石成功率、结石排净率、并发症、住院费用、住院时间等行比较研究。结果:实验组的总体碎石成功率高于对照组(肾、输尿管上段结石87.2%vs 75.5%,输尿管中下段结石:98.6%vs 84.8%),结石排净率也明显高于对照组(分别为肾、输尿管上段结石组82.0%vs 63.1%,输尿管中下段结石:94.8%vs83.6%);在肾、输尿管上段结石,且直径≤20mm的患者,实验组的并发症率低于对照组(3.6%vs 7.7%,P=0.005),而输尿管中下段结石患者,两组的并发症率差异无统计学意义(P>0.05),实验组患者对治疗满意度高于对照组(P<0.05)。结论:上尿路结石规范化治疗比常规治疗安全、有效、而且经济。Objective：To study the feasibility of the standardized treatment of upper urinary tract stone in clinical applications. Method： One thousand and seventy-one patients with upper urinary tract stone were received standardized treatment（experimental group）, and 774 cases with conventional treatment（control group）. To compared the success rate of lithotripsy,the stone-free rate, complications, hospital costs, hospital stay with the experimental group and control group. Result： The overall success rate of lithotripsy in experimental group was higher than in control group（kidney, Upper ureteral calculi 87.2 % vs 75.5 %, Middle and lower ureteral stones： 98.6 % vs 84.8 % ） ;and the stone-free rate of the experimental group was higher than in control group（kidney,Upper ureteral calculi：82.0% vs 63.1% ,Middle and lower ureteral stones：94.8% vs 83.6%）. When the stones were in the kidney or Upper ureteral calculi with diameter ~ 20 mm, the complications rate of experimental group were significantly reduced than the control group（3.6 % vs7.7 %,P= 0. 005）. Of middle and lower ureteral stones,the complications rate of experimental group and the control group had no significant difference（P〉0.05）. The satisfaction of patients in the experimental group was higher than the control group（P〈0.05）. Conclusion： The standardized treatment of upper urinary tract stones is more safety,effective,and economic than the conventional treatment.

关 键 词：上尿路结石 规范化治疗 性价比 

分 类 号：R693[医药卫生—泌尿科学]