超声预设治疗通道在体外冲击波碎石中的应用价值  

Application value of presetting treatment channel by ultrasound in extracorporeal shock wave lithotripsy

作　　者：吴建惠[1] 何屹[1] 陈昊[1] 吴晓鸣[1] 

机构地区：[1]浙江省嘉兴市第一医院泌尿外科,浙江嘉兴314000

出　　处：《临床泌尿外科杂志》2017年第6期478-479,482,共3页Journal of Clinical Urology

基　　金：浙江省嘉兴市医学重点学科(编号04-F-18)

摘　　要：目的:探讨超声预设治疗通道在体外冲击波碎石(ESWL)中的应用价值。方法:选取我院2015年10月~2016年10月期间可经腹部超声定位ESWL治疗的输尿管上段结石患者368例,随机分为两组:对照组和观察组各184例。对照组采用传统超声定位方法,不考虑冲击波治疗通道的情况;观察组在超声清晰定位的同时,规避冲击波治疗通道上肠道内容物强回声结构。结果:观察组、对照组治疗总有效率分别为90.2%、79.3%,组间差异有统计学意义(P<0.05);观察组、对照组并发症总发生率分别为65.2%、59.2%,组间差异无统计学意义(P>0.05)。结论:超声预设冲击波治疗通道简单方便,既可提高碎石效率又不会增加并发症的发生,值得碎石医生在实际工作中推广运用。Objective：To evaluate the application of presetting treatment channel by ultrasound in extracorporeal shock wave lithotripsy（ESWL）.Method：From October 2015 to October 2016,368 cases of upper ureteral calculi in our hospital who were treated with ESWL by ultrasound localization through the abdomen were enrolled in this study.They were randomly assigned to two groups：the control group and the observation group（each group 184）.The control group used the method of traditional ultrasound localization,but the channel of shock wave treatment was not considered.While the observation group used ultrasound localization to find the stones,at the same time,to avoid the strong echo structure of the intestinal content on the channel of shock wave.Result：The total effective rate of the observation group and the control group were 90.2%and 79.3%respectively.There was statistical significant difference between them（P〈0.05）.The incidence of complications in the observation group and control group were 65.2%and 59.2%respectively.There was no significant difference between them（P〈0.05）.Conclusion：Presetting treatment channel by ultrasound in ESWL is simple and convenient,which can not only improve the successful rate of lithotripsy,but also avoid increasing the occurrence of complications.It is worthy of popularization and application in the practical work.

关 键 词：体外冲击波碎石 超声定位 输尿管上段结石 

分 类 号：R691.4[医药卫生—泌尿科学]