体外冲击波碎石术联合坦索罗辛治疗输尿管下段结石的疗效  

Effect of Extracorporeal Shock Wave Lithotripsy Combined with Tamsulosin in the Treatment of Lower Ureteral Calculi

作　　者：吴春生[1] WU Chun-sheng(Urolithiasis Treatment Center of the Second Hospital of Tianjin Medical University,Tianjin 300021,China)

机构地区：[1]天津医科大学第二医院尿石症治疗中心,天津300021

出　　处：《医学信息》2022年第18期99-101,共3页Journal of Medical Information

摘　　要：目的研究体外冲击波碎石术联合坦索罗辛治疗输尿管下段结石的临床疗效。方法选取2021年8月-12月在我院诊治的76例输尿管下段结石患者为研究对象,采用随机数字表法分为对照组和观察组,各38例。对照组采用单纯体外冲击波碎石术治疗,观察组在对照组基础上给予坦索罗辛治疗,比较两组治疗疗效、结石排净时间、疼痛评分、治疗前后血压水平、并发症发生率及不良反应发生率。结果观察组治疗总有效率为94.74%,高于对照组的84.21%(P<0.05);观察组结石排净时间、疼痛评分均小于对照组(P<0.05);两组舒张压、收缩压均比较,差异无统计学意义(P>0.05);观察组并发症发生率为5.26%,低于对照组的15.78%(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论体外冲击波碎石术联合坦索罗辛治疗输尿管下段结石效果确切,可提高治疗疗效,缩短排石时间,降低疼痛评分、并发症发生率,且不会增加不良反应,是一种安全、有效的治疗方式。Objective To study the clinical efficacy of extracorporeal shock wave lithotripsy combined with tamsulosin in the treatment of lower ureteral calculi.Methods A total of 76 patients with lower ureteral calculi diagnosed and treated in our hospital from August to December 2021 were selected as the research objects.They were divided into control group and observation group by random number table method,with 38 cases in each group.The control group was treated with extracorporeal shock wave lithotripsy.The observation group was treated with tamsulosin on the basis of the control group.The therapeutic effect,stone clearance time,pain score,blood pressure level before and after treatment,complication rate and adverse reaction rate were compared between the two groups.Results The total effective rate of treatment in the observation group was 94.74%,which was higher than 84.21%in the control group(P<0.05).The stone clearance time and pain score of the observation group were lower than those of the control group(P<0.05).There was no significant difference in diastolic blood pressure and systolic blood pressure between the two groups(P>0.05).The incidence of complications in the observation group was 5.26%,which was lower than 15.78%in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Extracorporeal shock wave lithotripsy combined with tamsulosin is effective in the treatment of lower ureteral calculi.It can improve the therapeutic effect,shorten the time of stone removal,reduce the pain score and the incidence of complications,and will not increase adverse reactions.It is a safe and effective treatment.

关 键 词：体外冲击波碎石术 坦索罗辛 输尿管下段结石 

分 类 号：R657.4[医药卫生—外科学]