经皮膀胱穿刺造瘘气压弹道碎石术治疗膀胱结石的疗效  

Efficacy of Percutaneous Cystostomy Pneumatic Lithotripsy in the Treatment of Bladder Stones

作　　者：沈伟 SHEN Wei(Department of Urology,Nanping Second Hospital,Nanping Fujian 353200,China)

机构地区：[1]南平市第二医院泌尿外科,福建南平353200

出　　处：《中国卫生标准管理》2021年第24期74-76,共3页China Health Standard Management

摘　　要：目的分析对膀胱结石患者使用经皮膀胱穿刺造瘘气压弹道碎石术治疗的临床疗效,探讨在其中的具体应用价值。方法从本院收治的膀胱结石患者中抽选研究样本,抽样时间2019年7月—2020年7月,抽样数量为96例,抽样完成后将所有样本患者中的1/2纳入实施经尿道膀胱碎石术治疗的对照组,再将剩余1/2的患者纳入实施经皮膀胱穿刺造瘘气压弹道碎石术治疗的观察组。对比两组患者术中出血量、手术时间、住院时间、并发症发生率、结石清除率及治疗前后的生活质量评分。结果治疗前,从生活质量方面两组患者差异无统计学意义(P>0.05);实施治疗后,实施经皮膀胱穿刺造瘘气压弹道碎石术治疗的观察组患者术中出血量、手术时间及住院时间均低于实施经尿道膀胱碎石术治疗的对照组患者(P<0.05),观察组患者的并发症发生率低于对照组患者,观察组患者结石清除率和生活质量评分均高于对照组(P<0.05)。结论为发生膀胱结石的患者实施经皮膀胱穿刺造瘘气压弹道碎石术治疗能够取得较好的治疗效果,可以有效降低患者的术中出血量及手术时间,具有安全性高、操作便捷的优点,同时结石清除率也比较高,值得大力推广于临床试验中。Objective To analyze the clinical efficacy of percutaneous cystostomy pneumatic lithotripsy in the treatment of bladder stones,and to explore its specific application value.Methods A total of 96 patients with bladder stones in our hospital from July 2019 to July 2020 were selected as the research objects.According to the random number table method,all patients were divided into the observation group(48 cases,treated with percutaneous bladder puncture and pneumatic lithotripsy)and the control group(48 cases,treated with transurethral bladder lithotripsy).Operation time,hospital stay,incidence of complications,stone clearance rate and quality of life score before and after treatment were compared.Results Before treatment,there was no significant difference in the scores of quality of life between the observation group and the control group(P>0.05).After treatment,the intraoperative blood loss,operation time and hospitalization time of the observation group were lower than those of the control group(P<0.05).The complication rate of the observation group was lower than that of the control group,the stone clearance rate was higher than that of the control group,and the quality of life score was higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion The implementation of percutaneous cystostomy pneumatic lithotripsy in the treatment of patients with bladder stones can achieve good therapeutic effect,effectively reduce the amount of blood loss and operation time of patients,with the advantages of high safety,convenient operation,and high stone clearance rate,which is worthy of promotion in clinical trials.

关 键 词：膀胱结石 经皮膀胱穿刺造瘘气压弹道碎石术 经尿道膀胱碎石术 术中出血量 手术时间 结石清除率 

分 类 号：R459[医药卫生—治疗学]