输尿管结石的治疗方法探讨  

Analysis of the Treatment of Ureteral Calculi with Various Methods

作　　者：马志文[1] 

机构地区：[1]湖北黄冈市脑血管病医院,湖北黄冈438000

出　　处：《中国医药指南》2013年第31期34-35,共2页Guide of China Medicine

摘　　要：目的对输尿管结石治疗三种方法进行分析和对比。方法选取2009年12月至2011年12月我院收治的输尿管结石患者150例,随机分为三组患者,甲组患者40例,采用冲击波体外碎石;乙组患者52例,采用经尿道内镜下进行取石;丙组患者58例,采用钬激光碎石(LL)治疗;对比三组患者的临床治疗效果。结果乙组、丙组患者的成功碎石率、术后一年复发率、术后2周结石排净率、手术操作时间、术后并发症发生率显著高于甲组,差异性显著,具有统计学意义(P<0.05)。丙组患者成功碎石率、术后一年复发率、术后2周结石排净率、术后并发症发生率显著高于乙组患者,差异性显著,具有统计学意义(P<0.05)。三组患者均为发生因治疗和操作导致严重不良后果发生。结论采用钬激光碎石治疗输尿管结石,成功碎石率较高、1年复发率低、术后2周结石排净率较高,但手术操作时间较长、住院治疗时间相对较长,术后并发症较高;可有效的提高患者的成功碎石率,有效提高患者的生活质量。减轻患者的生活和经济负担。Objective To the treatment of ureteral calculi with three kinds of methods are analyzed and compared. Methods 126 patients with ureteral calculi from 2010 December to 2012 December in our hospital were randomly divided into three groups, 40 cases in group A, patients with ESWL, 52 cases; group B patients, treated with transurethral endoscopic stone extraction; C 58 cases of patients with Ho： YAG laser lithotripsy, （LL） therapy; clinical effect were compared between three groups. Results In group B, group C, successful rate of patients, the postoperative recurrence rate of one year, 2 weeks after the operation, stone clearance rate, operation time, postoperative complication rate was significantly higher than that in group A, the difference is significant, with statistical significance （P〈0.05）. Group C patients with successful rate, one year after the operation the recurrence rate, 2 weeks after the operation, stone clearance rate, the incidence of postoperative complications was significantly higher than that in group B patients, a significant difference, with statistical significance （P〈0.05）. Three groups of patients were happened due to treatment and operation led to serious adverse consequences. Conclusion The use of holmium laser lithotripsy for ureteral calculi, lithotripsy, high success rate and low recurrence rate a year, 2 weeks after the operation, stone clearance rate is higher, but the operation time, hospitalization time is relatively long, postoperative complications are higher; it can effectively improve the success rate of lithotripsy patients, reduce the suffering of patients, improve the quality of life of the patients. Reducing the patient＇s life and economic burden.

关 键 词：钬激光碎石治疗 冲击波体外碎石治疗 尿道内镜下取石 复发率 结石排净率 合并症 住院治疗时间 手术操作时间 安全性 

分 类 号：R693.4[医药卫生—泌尿科学]