不同体位下体外冲击波碎石术治疗输尿管下段结石的疗效观察
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摘要
目的:探讨不同体位下体外冲击波碎石术(ESWL)治疗输尿管下段结石的疗效。方法:将收治的300例输尿管下段结石患者采用随机数表法分为观察组(仰卧位行ESWL)和对照组(俯卧位行ESWL),各150例。比较两组透视时间和冲击波次数,评估两组治疗情况(首次排尿排石率、2周结石排净率、4周结石排净率和二次ESWL率),记录患者不良反应发生率。结果:与对照组相比,仰卧位治疗方式具有透视时间短(P<0.05)、冲击波次数少(P<0.05)、首次排尿排石率和2周结石排净率高(P<0.05)、4周结石排净率和二次ESWL率低(P<0.05)的特点,但不良反应发生率较高(P<0.05)。结论:仰卧位和俯卧位ESWL均能有效治疗输尿管下段结石,但前者在碎石有效率方面更有优势。
Objective To investigate the efficacy of extracorporeal shock wave lithotripsy( ESWL) under different positions in the treatment of lower ureteral calculi. Method 300 cases of patients with lower ureteral calculi were divided into the observation group( ESWL under supine position,n = 150) and the control group( ESWL under prone position,n = 150). The fluoroscopy time and the shock wave frequency were compared in the two groups,the treatment effect( the rate of first urination and stone clearance,2 w stone free rate,4 w stone free rate and the rate of second ESWL) were evaluated in the two groups,and the incidence rates of adverse reactions were recorded. Results Compared to the control group,the fluoroscopy time was shorter in the observation group( P < 0. 05),and the shock wave frequency was fewer( P < 0. 05),the rate of first urination and stone clearance,the 2 w stone free rate in the observation group were higher in the observation group( P < 0. 05),the 4 w stone free rate and the second ESWL rate were lower in the observation group( P < 0. 05). But the adverse reactions rate was higher in the observation group( P < 0. 05). Conclusion Both of supine and prone positions ESWL can treat the lower ureteral calculi effectively,but the former one has more advantages in promoting stone discharge.
Objective To investigate the efficacy of extracorporeal shock wave lithotripsy( ESWL) under different positions in the treatment of lower ureteral calculi. Method 300 cases of patients with lower ureteral calculi were divided into the observation group( ESWL under supine position,n = 150) and the control group( ESWL under prone position,n = 150). The fluoroscopy time and the shock wave frequency were compared in the two groups,the treatment effect( the rate of first urination and stone clearance,2 w stone free rate,4 w stone free rate and the rate of second ESWL) were evaluated in the two groups,and the incidence rates of adverse reactions were recorded. Results Compared to the control group,the fluoroscopy time was shorter in the observation group( P < 0. 05),and the shock wave frequency was fewer( P < 0. 05),the rate of first urination and stone clearance,the 2 w stone free rate in the observation group were higher in the observation group( P < 0. 05),the 4 w stone free rate and the second ESWL rate were lower in the observation group( P < 0. 05). But the adverse reactions rate was higher in the observation group( P < 0. 05). Conclusion Both of supine and prone positions ESWL can treat the lower ureteral calculi effectively,but the former one has more advantages in promoting stone discharge.
引文
[1]王施广,王娟,王振,等.泌尿系结石的流行病学研究进展[J].现代生物医学进展,2016,16(3):597.
[2]伏旭,岳中瑾.如何提高体外冲击波碎石的成功率[J].现代泌尿外科杂志,2015,20(5):364.
[3]陶卫琦.不同卧位体外冲击波碎石治疗输尿管下段结石584例[J].广西医科大学学报,2002,19(2):236.
[4]梁涛,李作为,田斌强,等.输尿管镜激光碎石与体外冲击波碎石治疗输尿管中下段结石效果比较[J].中国临床研究,2016,29(10):1345.
[5]马雪中,顾晓箭.体外冲击波碎石术仍然是上尿路结石治疗的重要角色[J].临床外科杂志,2017,25(2):94.
[6]王曦堃,王友志,谷艳辉,等.肾结石ESWL治疗中不良反应原因分析及对策研究[J].中华泌尿外科杂志,2016,37(8):578.
[7]钟小明,程支利,陈智彬.青年男性输尿管下段结石行体外冲击波碎石治疗对其精液的影响分析[J].中国性科学,2017,26(1):10.
[2]伏旭,岳中瑾.如何提高体外冲击波碎石的成功率[J].现代泌尿外科杂志,2015,20(5):364.
[3]陶卫琦.不同卧位体外冲击波碎石治疗输尿管下段结石584例[J].广西医科大学学报,2002,19(2):236.
[4]梁涛,李作为,田斌强,等.输尿管镜激光碎石与体外冲击波碎石治疗输尿管中下段结石效果比较[J].中国临床研究,2016,29(10):1345.
[5]马雪中,顾晓箭.体外冲击波碎石术仍然是上尿路结石治疗的重要角色[J].临床外科杂志,2017,25(2):94.
[6]王曦堃,王友志,谷艳辉,等.肾结石ESWL治疗中不良反应原因分析及对策研究[J].中华泌尿外科杂志,2016,37(8):578.
[7]钟小明,程支利,陈智彬.青年男性输尿管下段结石行体外冲击波碎石治疗对其精液的影响分析[J].中国性科学,2017,26(1):10.