急诊与择期体外碎石治疗输尿管结石的疗效比较  

Curative Effect Comparison Between Emergency and Elective Extracorporeal LI thotripsy for Ureteral Calculi

作　　者：吴贵灵 WU Guiling(Urology Department,Huai'an City Jinhu County Hospital of Traditional Chinese Medicine,Huai'an,Jiangsu,211600)

机构地区：[1]淮安市金湖县中医院泌尿外科,江苏淮安211600

出　　处：《智慧健康》2023年第19期158-161,共4页Smart Healthcare

摘　　要：目的对比分析输尿管结石患者采取急诊体外碎石与择期体外碎石治疗的效果。方法选择2020年1月-2022年12月淮安市金湖县中医院收诊治疗输尿管结石患者3530例作为研究对象,按照手术时间不同划分对照组与观察组,对照组(1765例)患者采取择期体外碎石治疗;观察组(1765例)患者采取急诊体外碎石治疗,观察统计两组患者碎石成功率及结石排净率,比较两组患者间数据统计学差异。观察各组患者治疗后出现并发症的具体表现,计算总发生概率。记录各组患者手术治疗时间,同时对两组患者疼痛程度进行评估。结果经统计,观察组患者碎石成功率及结石排净率均明显高于对照组(P<0.05),同时观察组患者治疗后出现并发症的总概率低于对照组(P<0.05)。两组患者手术总时长组间对比差异无统计学意义(P>0.05),观察组患者疼痛评分低于对照组(P<0.05)。结论临床治疗输尿管结石疾病可首选急诊体外冲击波碎石方式,相比择期体外碎石治疗有效的提高碎石成功率及患者排石率,减少并发症,减轻患者疼痛感,值得运用推广。Objective To compare and analyze effect of emergency extracorporeal lithotripsy and selective extracorporeal lithotripsy treatment for patients with ureteral calculi.Methods The paper chose 3530 patients with ureteral calcuLI admitted to Huai'an City Jinhu County Hospital of Traditional Chinese Medicine from January 2020 to December 2022 as study subjects,and divided them into control group and observation group according to different operation time.Control group(1765 patients)was treated with extracorporeal lithotripsy,observation group(1765 cases)with emergency extracorporeal lithotripsy treatment.Success rate and stone clearance rate between two groups was observed and statistically analyzed,statistical difference in data between two groups were compared.Specific manifestations of complications in each group after treatment were observed and total incidence of occurrence was calculated,surgical treatment time of each group was recorded and pain level of both groups was evaluated.Results Success rate and stone clearance rate of observation group was significantly higher than control group(P<0.05),total incidence of complications in observation group after treatment was lower than control group(P<0.05).There was no statistically significant difference in total surgical duration between two groups(P>0.05),pain scores of observation group were lower than control group(P<0.05).Conclusion Emergency extracorporeal shock wave lithotripsy is the first choice for clinical treatment of ureteral calculi,it can effectively improve success rate of lithotripsy and stone removal rate,with fewer complications and less pains than elective surgery,which is worthy of promotion.

关 键 词：急诊体外碎石 择期体外碎石 输尿管结石 疗效 

分 类 号：R699.4[医药卫生—泌尿科学]