输尿管镜联合静推速尿防止输尿管结石上移的临床研究

Clinical Study of Ureteroscopy Combined with Intravenous Furosemide Prevents Ureteral Stones Up

目的:探讨输尿管镜联合静推速尿治疗输尿管结石(URL)时防止输尿管结石上移的临床研究。方法:选取2012年1月-2014年1月本院收治住院的接受输尿管镜碎石取石的患者184例,将患者按照随机数字表法分为对照组76例和研究组108例,对照组采用常规输尿管镜治疗输尿管结石,研究组采用输尿管镜联合静推速尿治疗输尿管结石,观察两组的治疗效果、术后并发症发生情况以及治疗前后两组患者焦虑、抑郁评分改善情况。结果:与对照组比较,研究组结石上移明显减少,一次性完全碎石排石率达99%,差异均有统计学意义(P<0.05)。研究组术后并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。研究组焦虑抑郁评分改善程度明显高于对照组,差异有统计学意义(P<0.05)。结论:输尿管镜联合静推速尿治疗输尿管结石时可防止输尿管结石上移,提高输尿管结石疗效,同时可减少并发症,改善患者的焦虑抑郁情况,值得推广。

Objective：To investigate the ureteroscope combined with intravenous furosemide in the treatment of ureteral calculi（URL）prevent of ureteral stones up.Method：184 cases who were hospitalized ureteroscopic lithotripsy were selected from January 2012 to January 2014 in our hospital,they were randomly divided into the control group and the study group,76 cases in the control group used routine treatment of ureteral calculi,108 cases in the study group used the combined ureteroscope and intravenous injection of furosemide,the treatment effect of the two groups was observed, postoperative complications and the anxiety,depression score improvement before and after treatment were compared. Result：Compared with the control group,the movement of calculus in the study group was significantly reduced,the one-time completely crushed stone removal rate was 99%,the differences were statistically significant（P〈0.05）. The incidence rate of complications was lower than that of the control group,the difference was statistically significant（P〈0.05）;the anxiety and depression score of the study group was significantly improved than that of the control group patients,the difference was statistically significant（P〈0.05）.Conclusion：The treatment of ureteroscope combined with intravenous furosemide for ureteral calculi（URL）can prevent ureteral stones up,improve the ureteral calculi,at the same time can reduce the complications and improve patients’anxiety,depression,it is an effective method.