两种碎石术治疗输尿管结石临床效果观察  

Clinical Effect of Two Kinds of Lithotripsy in the Treatment of Ureteral Calculi

作　　者：杨东[1] YANG Dong(Department of Urology,People's Hospital of Jiyuan City,Jiyuan 459000,Henan Province,China)

机构地区：[1]河南省济源市人民医院泌尿外科,河南济源459000

出　　处：《罕少疾病杂志》2021年第5期67-69,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探究体外冲击波碎石术与输尿管镜碎石术治疗输尿管结石的临床效果。方法对我院2018年9月至2019年9月收治的90例输尿管结石患者展开对照研究,将其分为观察组(体外冲击波碎石术)与对照组(输尿管镜碎石术)各45例,分组方法为随机数字表法,探讨实施不同治疗对治疗效果的影响。结果结石直径>1cm时,与观察组排净率(63.27%)相比,对照组(86.81%)显著较高(P<0.05),结石直径<1cm时,两组排净率(87.50%vs.87.34%)无显著差异(P>0.05),与观察组并发症(8.89%)相比,对照组(4.44%)无显著差异(P>0.05),治疗前两组肌酐以及尿素氮水平无显著差异(P>0.05),两组治疗后的肌酐以及尿素氮水平均低于治疗前,但两组之间无显著差异(P>0.05)。结论针对输尿管结石患者,当患者结石直径小于1cm时,输尿管镜碎石术与体外冲击波碎石术均可有效排石,且并发症接近,但对于存在结石直径大于1cm的输尿管结石患者,需采取输尿管镜碎石术,排石效果更好。Objective To explore the clinical effect of extracorporeal shock wave lithotripsy and ureteroscopic lithotripsy in the treatment of ureteral calculi.Methods 90 patients with ureteral calculi in our hospital from September 2018 to September 2019 were divided into the observation group(extracorporeal shock wave lithotripsy)and the control group(ureteroscopic lithotripsy)with 45 cases in each group.The grouping method was a random number table,and the effect of different treatments on the treatment effect was discussed.Results When the stone diameter>1cm,compared with the observation group(63.27%),the control group(86.81%)was significantly higher(P<0.05).When the stone diameter was<1cm,the two groups(87.50%)vs Compared with the observation group(8.89%),the control group(4.44%)had no significant difference(P>0.05).Before treatment,there was no significant difference in the levels of creatinine and urea nitrogen between the two groups(P>0.05).After treatment,the levels of creatinine and urea nitrogen in the two groups were lower than before treatment,but there was no significant difference between the two groups(P>0.05).Conclusion For patients with ureteral calculi,when the stone diameter is less than 1cm,ureteroscopic lithotripsy and extracorporeal shock wave lithotripsy can effectively remove the stone,and the complications are similar,but for patients with ureteral calculi whose stone diameter is greater than 1cm,ureteroscopic lithotripsy is needed,and the effect of stone removal is better.

关 键 词：输尿管结石 体外冲击波碎石术 输尿管镜碎石术 疗效 

分 类 号：R693.4[医药卫生—泌尿科学]