输尿管镜联合碎石清石系统超声气压弹道碎石术在输尿管结石治疗中的应用分析  

Application of Ureteroscope Combined with Gravel Clear Stone System in Ultrasonic Pneumatic Lithotripsy in the Treatment of Ureteral Calculi

作　　者：李新刚 LI Xin-gang(Department of Urology, Qingyun County People's Hospital, Qingyun, ShandongProvince 253700, China)

机构地区：[1]庆云县人民医院泌尿外科

出　　处：《系统医学》2019年第10期66-67,70,共3页Systems Medicine

摘　　要：目的分析输尿管结石临床治疗中联合应用输尿管境碎石清石系统超声气压弹道碎石术的效果。方法选择该院于2017年12月—2018年12月期间收治的输尿管结石患者78例,以计算机为工具遵从随机数字表将患者划分为实验组(39例)以及对照组(39例),对照组患者临床接受传统体外冲击波碎石术治疗,实验组患者临床接受输尿管镜+碎石清石系统超声气压弹道碎石术治疗,比对两组患者的临床治疗效果,包括术中出血量、手术时间、结石完全排出时间、住院时间以及并发症发生率。结果实验组患者的术中出血量、手术时间、结石完全排除时间、住院时间与对照组患者进行组间比对,差异有统计学意义(t=9.043,8.037,8.618,7.470,P<0.05);实验组患者的并发症发生率为7.69%,对照组患者的并发症发生率为28.21%,两组数据进行比较,组间差异有统计学意义(χ^2=5.571,P<0.05)。结论输尿管结石临床治疗期间联合使用输尿管镜、碎石清石系统超声气压弹道碎石术,效果较为确切,不仅可以缩短患者结石清除周期,提高治疗效果,还能减少术中出血量以及住院时间,有利于患者预后实现良性发展。Objective To analyze the effect of combined use of ureteral lithotripsy and ultrasonic pneumatic lithotripsy in the clinical treatment of ureteral calculi. Methods A total of 78 patients with ureteral calculi admitted to our hospital from December 2017 to December 2018 were enrolled. The patients were divided into the experimental group (39 cases) and the control group (39 cases) with a computer-based tool to follow the random number table. The patients in the control group were treated with traditional extracorporeal shock wave lithotripsy. The patients in the experimental group were treated with ureteroscopy and lithotripsy system with ultrasound pneumatic lithotripsy. The clinical treatment effects of the two groups were compared, including intraoperative blood loss, surgical time, total stone discharge time, length of hospital stay, and complication rate. Results The difference of intraoperative blood loss, operation time, complete stone elimination time, and hospitalization time between the experimental groups and the control group was statistically significant (t=9.043, 8.037, 8.618, 7.470, P<0.05). The complication rate was was 7.69% in the experimental group , and 28.21% in the control group. The difference between the groups was statistically significant (χ^2=5.571, P<0.05). Conclusion The effect of ureteral calculi combined with ureteroscopy and lithotripsy system for pneumatic pneumatic lithotripsy during clinical treatment of ureteral calculi is accurate, which not only shortens the patient's stone removal cycle, improves the treatment effect, but also reduces intraoperative blood loss and hospital stay. It is conducive to the benign development of the patient's prognosis.

关 键 词：输尿管结石 输尿管镜 碎石清石系统 超声气压弹道碎石术 结石完全排除时间 并发症 

分 类 号：R699.4[医药卫生—泌尿科学]