69例输尿管镜下气压弹道碎石术临床治疗效果分析

Clinical Treatment Effect Analysis of 69 Cases with Ureteroscopy Pneumatic Lithotripsy

目的对输尿管镜下进行的气压弹道碎石手术的实际疗效进行研究探讨。方法整群选取自2013年8月—2015年7月收治的以138例输尿管结石患者为研究对象,将其随机划成观察组与对照组均为69例。对于对照组选择应用了体外超声波碎石的方法,对于观察组,选择应用了输尿管镜下进行的气压弹道碎石手术,然后对这两组患者的实际疗效与出现并发症的情况进行详细的对比。结果观察组结石排除率与一次碎石合格率分别是97.1%和100%,显著高于对照组(87.6%、80.2%),观察组的结石排出时间是(4.1±0.7)d,明显少于对照组(8.3±0.1)d;两组并发症发生率分别是13.0%和15.9%,其差异无统计学意义(χ2=1.438,P>0.05)。结论输尿管镜下进行的气压弹道碎石,可以取得较好的疗效要,且术中安全性高,并具有较高的结石排出率,非常值得在临床推广应用。

Objective To research and discuss the actual curative effect of ureteroscopy pneumatic lithotripsy. Methods138 cases of patients with ureteral calculus treated from August 2013 to July 2015 were selected as the research object and randomly divided into two groups with 69 cases in each, the control group were treated with in-vitro ultrasonic lithotripsy,the observation group were treated with ureteroscopy pneumatic lithotripsy, and then the actual curative effect and occurrence of complications of the two groups were compared in detail. Results The calculus elimination rate and the first pass yield of detritus in the observation group were obviously higher than those in the control group,（97.1%, 100% vs 87.6%,80.2%）, the calculus elimination time in the observation group was obviously shorter than that in the control group,（4.1 ±0.7）d vs（8.3±0.1d, the incidence of complications of the two groups was respectively 13.0% and 15.9%, the differences had no obvious statistical significance（χ^2=1.438,P〈0.05）. Conclusion The ureteroscopy pneumatic lithotripsy can obtain a better curative effect with high security during operation and a high calculus？elimination rate, which is of great clinical promotion and application value.