超声实时定位监测在电磁式碎石术中的作用研究  

Role of ultrasound real-time located monitoring in electromagnetic urinary calculi lithotripsy

作　　者：李德义[1] 池祥波 

机构地区：[1]重庆市綦江区人民医院特检科,401420

出　　处：《检验医学与临床》2015年第2期172-173,176,共3页Laboratory Medicine and Clinic

基　　金：重庆市綦江区科委科研项目(2012.203)

摘　　要：目的比较经超声实时定位监测与超声定位非实时监测在电磁式尿路结石碎石术的临床疗效。方法回顾性分析2005年10月至2012年10月诊断明确并行尿路结石碎石术的1 242例资料。根据碎石定位方式不同分为两组:经超声实时定位监测碎石组621例,非实时监测碎石组621例。比较两组疗效、碎石时间、排石情况、术后血尿时间、术后使用抗生素时间、术后住院时间、术后并发症等指标的差别。结果两组病例术中及术后近期均未发生严重并发症,远期并发症有待观察。超声实时定位监测碎石组碎石成功率为99.52%(618/621),非实时监测碎石组成功率为97.42%(605/621),两组间比较差异无统计学意义(P>0.05);经超声实时定位监测碎石组碎石时间、排石情况、术后血尿时间、术后使用抗生素时间、术后住院时间、术后并发症少于非实时监测碎石组,两组比较差异有统计学意义(均P<0.01)。结论超声定位实时监测体外冲击波碎石治疗尿路结石可减少盲目冲击对邻近组织的损伤,安全有效,无严重并发症,缩短碎石时间、术后血尿时间、术后使用抗生素时间、术后住院时间,提高排石效果,可提高治疗安全性、有效性、及时性、廉价性,值得推广。Objective To compare the clinical effects between ultrasound real‐time located monitoring and ul‐trasound located non‐real‐time monitoring in electromagnetic urinary calculi lithotripsy .Methods The data in 1 242 cases of urinary tract stones treated by lithotripsy in our hospital from October 2005 to October 2012 were retrospec‐tively analyzed .All cases were divided into two groups according to the located mode ,621 cases in the ultrasound real‐time located monitoring lithotripsy group and 621 cases in the non‐real‐time monitoring lithotripsy group .The inde‐xes of curative effects ,lithotripsy time ,stone removing time ,postoperative hematuria time ,postoperative antibiotics use time ,hospital stay duration and complications were compared between the two groups .Results No serious com‐plications occurred during operation and short time after operation in both groups ,long‐term complications remained to be observed .The operation success rate in the ultrasound real‐time located monitoring lithotripsy group and the non‐real‐time monitoring lithotripsy group were 99 .52% （618/621） and 97 .42% （605/621） respectively ,showing no statistical difference between two groups （P〉0 .05） .The lithotripsy time ,stone removing time ,postoperative hema‐turia time ,postoperative antibiotics use time ,postoperative hospital stay duration and complications in the ultrasound real‐time located monitoring lithotripsy group were all less than those in the non‐real‐time monitoring lithotripsy group with statistically significant differences （P〈0 .01） .Conclusion The ultrasound located real‐time monitoring extracorporeal shock wave lithotripsy can reduce the injuries of blind impact to adjacent tissues ,is safe and effective , has no serious complications ,shorten the lithotripsy time ,postoperative hematuria time ,antibiotics use time and post‐operative hospital stay time ,improve the effect for removing stones ,increase the safety ,effectiveness ,timeliness and cheapness of

关 键 词：结石 超声检查 实时定位监测 体外冲击波碎石 

分 类 号：R445[医药卫生—影像医学与核医学]