物理振动排石辅助体外碎石治疗老年肾结石的安全性及有效性  

Study on the safety and efficacy of external physical vibration lithecbole assisted extracorporeal lithotripsy in the treatment of elderly kidney calculi

作　　者：刘皎林 王鑫[2] 陈正莲 徐英民 Liu Jiaolin;Wang Xin;Chen Zhenglian;Xu Yingmin(Department of Urology,Central Hospital of Linyi City,Linyi 276400,China;Department of Urology,the People′s Hospital of Linyi City,Linyi 276000,China)

机构地区：[1]临沂市中心医院泌尿外科,临沂276400 [2]临沂市人民医院泌尿外科,临沂276000

出　　处：《国际泌尿系统杂志》2024年第4期585-589,共5页International Journal of Urology and Nephrology

摘　　要：目的:评价体外物理振动排石(EPVL)辅助体外冲击波碎石(ESWL)治疗老年肾结石(结石长径≤15 mm)患者的有效性和安全性。方法:回顾性分析2019年3月至2022年1月于临沂市中心医院收治的85例老年肾结石(结石长径≤15 mm)患者的临床资料,按照ESWL后不同干预方法将患者分为EPVL组(ESWL后行EPVL治疗,42例)和对照组(ESWL后自然常规排石治疗,43例)。对比分析两组患者的当日结石排出率(SER),第1周、第2周结石排净率(SFR);对比分析两组患者的不良反应、并发症发生率及治疗满意度评分。结果:EPVL组的当日SER、治疗后第1周SFR、第2周SFR均显著高于对照组,差异均有统计学意义(均P<0.05);两组患者的腰痛、血尿、皮肤过敏、发热、眩晕等不良反应发生率比较,差异均无统计学意义(均P>0.05);两组患者的并发症发生率比较,差异无统计学意义(P>0.05)。两组患者的治疗满意度评分比较,差异无统计学意义(P>0.05)。结论:EPVL辅助ESWL治疗老年肾结石的临床效果好,其SER与SFR较高,可显著提高排石率,是一种安全有效的排石治疗方式。Objective To evaluate the efficacy and safety of external physical vibration lithecbole(EPVL)and assisted extracorporeal lithotripsy(ESWL)in the treatment of elderly patients with kidney stones(stone diameter<15 mm).Methods We conducted a retrospectively clinical data analysis of 85 elderly patients with kidney stones(stone diameter<15 mm)admitted to Central Hospital of Linyi City from March 2019 to January 2022.The patients were divided into EPVL group(EPVL-assisted stone removal after ESWL,42 cases)and control group(natural routine stone removal after ESWL,43 cases)according to different intervention methods after ESWL.The daily stone removal rate(SER),stone removal rate(SFR)at 1st and 2nd week of the two groups were compared and analyzed.The incidence of adverse reactions and complications in the two groups were analyzed,and the treatment satisfaction was analyzed.Results The SER of the day,the SFR in week 1 and SFR in week 2 of EPVL group were higher than the control group(all P<0.05).There was no significant differences in the side effects of lumbago,hematueia,skin allergy,fever and vertigo between the two groups(all P>0.05),and there was no significant differences in the complications between the groups(P>0.05).There was no significant difference in the treatment satisfaction between the two groups(P>0.05).Conclusions EPVL is a safe and effective method of active auxiliary stone expulsion,with high stone expulsion rate and clearance rate.

关 键 词：肾结石 老年人 碎石术 物理振动排石 

分 类 号：R699.2[医药卫生—泌尿科学]