不同手术方式治疗输尿管结石的效果分析  

Effect of Different Surgical Methods in the Treatment of Ureteral Calculi

作　　者：刘明[1] 李君贵[1] 陈国福[1] 

机构地区：[1]吉林省四平市中心医院,吉林四平136000

出　　处：《智慧健康》2017年第5期187-189,共3页Smart Healthcare

摘　　要：目的对输尿管结石应用不同手术方法进行治疗的临床效果进行探讨。方法取我院2014年1月份到2016年12月份收治的210例输尿管结石患者为研究对象。分成两组,105例患者采用气压弹道碎石术进行治疗,设为实验组;105例患者采用体外冲击波碎石术进行治疗,设为对照组。密切观察两组患者的手术进展情况,并对两组患者的手术情况、结石排净、并发症情况进行分析和比较。结果总碎石率以实验组较高,与对照组数据比较差异性明显,证实存在统计学意义,P<0.05;平均手术时间以实验组较短,与对照组数据比较差异性明显,证实存在统计学意义,P<0.05;3个月结石排净率以实验组较高,并发症率以实验组较低,与对照组数据比较差异性明显,证实存在统计学意义,P<0.05;实验组术后肉眼血尿、腰痛发生率较低,与对照组数据比较差异性明显,证实存在统计学意义,P<0.05。结论输尿管结石患者采用气压弹道碎石术进行治疗,碎石成功率较高,排石干净,且术后并发症少,安全性高。Objective To explore the clinical effect of different surgical methods in the treatment of ureteral calculi.Methods 210 patients with ureteral calculi admitted to our hospital from 2014 to 2016 in December were selected as the subjects of study in our hospital from January to January.Divided into two groups,105 patients were treated with pneumatic lithotripsy,Set as experimental group;105 patients were treated with extracorporeal shock wave lithotripsy,Set as control group.The operation of two groups of patients were observed closely,Analysis and comparison of the two groups of patients with operation, stone removal, complications.Results The total gravel content was higher in the experimental group,Compared with the control group, the difference was obvious,Confirmed the existence of statistical significance,P<0.05;The average operation time was shorter in the experimental group,Compared with the control group, the difference was obvious,Confirmed the existence of statistical significance,P<0.05;The rate of stone removal in 3 months was higher in the experimental group,The complication rate was lower in the experimental group,Compared with the control group, the difference was obvious,Confirmed the existence of statistical significance,P<0.05;The incidence of gross hematuria and low back pain was lower in the experimental group,Compared with the control group, the difference was obvious,Confirmed the existence of statistical significance,P<0.05.Conclusion Treatment of ureteral calculi with pneumatic lithotripsy,Gravel success rate is high,Stone clean,There are few complications and high safety.

关 键 词：气压弹道碎石术 体外冲击波碎石术 输尿管结石 

分 类 号：R699.4[医药卫生—泌尿科学]