不同手术方式治疗输尿管结石的效果分析
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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.
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.
引文
[1]闫永刚.用两种手术方法治疗输尿管结石的效果对比[J].当代医
[2]蒋廷森.不同手术方式治疗嵌顿性输尿管上段结石的效果比较[J].深圳中西医结合杂志,2016,26(15):136-138.
[3]Leijte JA,Oddens JR,Lock TM.Holmium laser lithotripsy for ureteral calculi:predictive factors for complications and success.[J].Journal of endourology 2015,12(2):78-79.
[4]王国伟,朱新华,李树华.输尿管结石不同治疗方法的效果比较[J].中国民族民间医药,2015,24(20):58-58.
[5]魏蓓蕾.两种不同手术方法在复杂输尿管结石中的应用效果比较[J].中国现代药物应用,2014,8(24):35-36.
[6]王宁,李义,王加强.上段输尿管结石不同治疗方法的疗效分析[J].中国老年学,2014,34(15):4367-4368.
[7]廖勇,李康,黄建林,等.不同手术方式治疗复杂性输尿管上段结石的疗效比较[J].昆明医科大学学报,2014,35(2):73-76.
[8]吴国伟,张彦君.不同方式治疗嵌顿性输尿管结石的临床效果分析[J].中外医学研究,2016,14(22):124-125.
[9]李洪波,宋文明.不同手术方式治疗肾及输尿管结石的疗效观察[J].中国医疗前沿,2013,8(11):56-56,57.
[10]王鑫,欧阳骏.嵌顿性输尿管结石不同治疗方法效果分析[J].临床泌尿外科杂志,2014,29(4):324-326.
[11]陈励碧.两种不同手术方式在复杂性输尿管结石治疗中的临床价值[J].中国继续医学教育,2016,8(21):108-109.
[12]古剑.不同手术方法治疗输尿管结石的临床分析[J].数理医药学杂志,2016,29(5):678-679.
[13]张福元.不同手术方式治疗输尿管结石的效果分析[J].中国当代医药,2016,23(7):86-88.
[14]何松平.不同手术方式治疗输尿管结石的效果分析[J].医药前沿,2016,6(20):65-66.
[15]林峰,陈军,王鸿康.不同手术方式治疗输尿管结石的效果分析[J].中国全科医学,2014,13(17):2036-2039.
[2]蒋廷森.不同手术方式治疗嵌顿性输尿管上段结石的效果比较[J].深圳中西医结合杂志,2016,26(15):136-138.
[3]Leijte JA,Oddens JR,Lock TM.Holmium laser lithotripsy for ureteral calculi:predictive factors for complications and success.[J].Journal of endourology 2015,12(2):78-79.
[4]王国伟,朱新华,李树华.输尿管结石不同治疗方法的效果比较[J].中国民族民间医药,2015,24(20):58-58.
[5]魏蓓蕾.两种不同手术方法在复杂输尿管结石中的应用效果比较[J].中国现代药物应用,2014,8(24):35-36.
[6]王宁,李义,王加强.上段输尿管结石不同治疗方法的疗效分析[J].中国老年学,2014,34(15):4367-4368.
[7]廖勇,李康,黄建林,等.不同手术方式治疗复杂性输尿管上段结石的疗效比较[J].昆明医科大学学报,2014,35(2):73-76.
[8]吴国伟,张彦君.不同方式治疗嵌顿性输尿管结石的临床效果分析[J].中外医学研究,2016,14(22):124-125.
[9]李洪波,宋文明.不同手术方式治疗肾及输尿管结石的疗效观察[J].中国医疗前沿,2013,8(11):56-56,57.
[10]王鑫,欧阳骏.嵌顿性输尿管结石不同治疗方法效果分析[J].临床泌尿外科杂志,2014,29(4):324-326.
[11]陈励碧.两种不同手术方式在复杂性输尿管结石治疗中的临床价值[J].中国继续医学教育,2016,8(21):108-109.
[12]古剑.不同手术方法治疗输尿管结石的临床分析[J].数理医药学杂志,2016,29(5):678-679.
[13]张福元.不同手术方式治疗输尿管结石的效果分析[J].中国当代医药,2016,23(7):86-88.
[14]何松平.不同手术方式治疗输尿管结石的效果分析[J].医药前沿,2016,6(20):65-66.
[15]林峰,陈军,王鸿康.不同手术方式治疗输尿管结石的效果分析[J].中国全科医学,2014,13(17):2036-2039.