CT值与泌尿系结石易碎性及体外冲击波碎石效果的关系分析  

Analysis of the relationship between CT value and the fragility of urinary calculi and the effect of extracorporeal shock wave lithotripsy

作　　者：王军 孙孝平 齐士勇[3] 孙国良[1] WANG Jun;SUN Xiao-ping;QI Shi-yong(Department of Urology,Chengde Central Hospital,Chengde Hebei 067000,China;Department of Critical Care,Chengde Central Hospital,Chengde Hebei 067000,China;Department of Urology,the second hospital of Tianjin Medical University,Tianjin 300211,China)

机构地区：[1]承德市中心医院泌尿外科,河北承德067000 [2]承德市中心医院重症医学科,河北承德067000 [3]天津医科大学第二医院泌尿外科,天津300211

出　　处：《临床和实验医学杂志》2021年第19期2089-2091,共3页Journal of Clinical and Experimental Medicine

基　　金：国家自然科学基金项目(编号:82070725);2019年承德市科学技术研究与发展计划项目(编号:201903A005)。

摘　　要：目的探究CT值与泌尿系结石易碎性及体外冲击波碎石效果的关系。方法前瞻性选取2018年1月至2021年1月承德市中心医院收治的200例泌尿系结石患者作为研究对象,所有患者均行体外冲击波碎石治疗,并予以CT检查,随访观察CT值与泌尿系结石易碎性及体外冲击波碎石效果的关系。结果不同结石组成成分CT值差异有统计学意义(P<0.05),其中单纯结石中碳酸磷灰石CT值最高,混合结石中一水草酸钙+碳酸磷灰石CT值最高;碎石次数≥2次患者CT值[(993.54±175.32)Hu]明显高于碎石次数1次[(547.49±56.86)Hu]及2次[(842.23±126.74)Hu]的患者,差异均有统计学意义(P<0.05);不同碎石效果CT值比较:结石完全清除患者的CT值[(804.21±131.28)Hu]明显低于结石残余的患者[(1126.74±221.17)Hu],差异有统计学意义(P<0.05)。结论针对泌尿系结石患者行CT检查能够辅助鉴定结石的成分,预测患者结石易碎性和体外冲击波碎石效果,为临床治疗方案选择提供可靠的依据,具有较高临床价值。Objective Explore the relationship between CT value and the fragility of urinary calculi and the effect of extracorporeal shock wave lithotripsy.Methods A total of 200 patients with urinary calculi admitted to Chengde Central Hospital from January 2018 to January 2021 were prospectively selected as research subjects.All patients received extracorporeal shock wave lithotripsy and underwent CT examination.The follow-up were didi and the relationship between CT value and the fragility of urinary calculi and the effect of extracorporeal shock wave lithotripsy were obsened.Results There were statistically significant differences in CT values of different stone components(P<0.05),the CT value of carbonate apatite in simple stones was the highest,and that of calcium oxalate+carbonate apatite in mixed stones was the highest.The CT value of patients with 2 times of tripsy[(993.54±175.32)Hu]was significantly higher than that of patients with 1 and 2 times of tripsy[(547.49±56.86),(842.23±126.74)Hu],and the difference were statistically significant(P<0.05);the CT value of patients with completely cleared lithotripsy[(804.21±131.28)Hu]was significantly lower than that of patients with stone residual[(1126.74±221.17)Hu],and the difference was statistically significant(P<0.05).Conclusion CT examination for patients with urinary calculi can assist in the identification of the components of the stones,predict the fragility of the stones and the effect of extracorporeal shock wave lithotripsy,provide a reliable basis for the selection of clinical treatment options,and have high clinical value.

关 键 词：泌尿系结石 CT值 易碎性 体外冲击波碎石 碎石效果 

分 类 号：R699[医药卫生—泌尿科学]