输尿管镜钬激光与体外冲击波碎石术应用于输尿管上段结石患者临床治疗中的效果分析  

Analysis of Application Effect of Ureteroscopic Lithotripsy and Extracorporeal Shock Wave Lithotripsy in the Clinical Treatment of Patients with Upper Ureteral Calculi

作　　者：濮建明[1] PU Jian-ming(Department of Urinary Surgery,Changshu Hospital of TCM,Changshu,Jiangsu Province,215500 China)

机构地区：[1]常熟市中医院泌尿外科,江苏常熟215500

出　　处：《中外医疗》2018年第9期90-91,94,共3页China & Foreign Medical Treatment

摘　　要：目的探讨输尿管上段结石患者应用输尿管镜钬激光碎石术与体外冲击波碎石术的临床疗效。方法方便选取该院2014年10月—2016年8月期间所收治的74例输尿管上段结石患者作为该次研究对象,按照治疗方法的不同分为两组,每组37例,输尿管镜钬激光碎石术组予以输尿管镜钬激光碎石术,体外冲击波碎石术组予以体外冲击波碎石术,对比分析两组患者的手术时间和手术后3个月的结石排净率。结果输尿管镜钬激光碎石术组手术时间显著短于体外冲击波碎石术组;对于结石排净情况,结石大于1 cm的输尿管镜钬激光碎石术组总有效率为84.21%(16/19);体外冲击波碎石术组总有效率为35.29%(6/17);经对比,差异有统计学意义(χ~2=9.033 7,P<0.05);对于结石≤1cm的输尿管镜钬激光碎石术组总有效率为55.55%(10/18);体外冲击波碎石术组上段总有效率为65.00%(13/20);经对比,差异有统计学意义(χ~2=4.666 7、P<0.05)。结论结石直径在1 cm以下应选择体外冲击波碎石术治疗,结石直径在1 cm以上可选择输尿管镜钬激光碎石术治疗。Objective To study the clinical curative effect of ureteroscopic lithotripsy and extracorporeal shock wave lithotripsy in the clinical treatment of patients with upper ureteral calculi. Methods 74 cases of patients with upper ureteral calculi admitted and treated in our hospital from October 2014 to August 2016 were convenient selected and divided into two groups with 37 cases in each according to different treatment methods, respectively treated with ureteroscopic lithotripsy and extracorporeal shock wave lithotripsy, and the operation time, and stone-free rate in three months after surgery were compared between the two groups. Results The operation time in the ureteroscopic lithotripsy group was obviously shorter than that of extracorporeal shock wave lithotripsy group, and the total effective rate of stone-free of patients whose stone 1 cm in the ureteroscopic lithotripsy group and in the extracorporeal shock wave lithotripsy group was respectively 84.21%（16/19） and 35.29%（6/17）, and the（χ~2=9.033 7,P 0.05）, and the total effective rate of patients whose stone ≤ 1 cm in the ureteroscopic lithotripsy group and in the extracorporeal shock wave lithotripsy group was respectively 55.55%（10/18） and65.00%（13/20）（χ~2=4.666 7,P〈0.05）. Conclusion The extracorporeal shock wave lithotripsy should be selected for patients whose stone diameter ≤ 1 cm, and the ureteroscopic lithotripsy should be selected for patients whose stone diameter 1 cm.

关 键 词：输尿管上段结石 输尿管镜钬激光碎石术 体外冲击波碎石术 

分 类 号：R4[医药卫生—临床医学]