输尿管肾镜取石术与体外冲击波碎石术的效果对比性研究

Comparative Study on Ureteroscopic Lithotripsy and Extracorporeal Shock Wave Lithotripsy

目的探讨输尿管肾镜取石术与体外冲击波碎石术对尿路结石的治疗效果。方法回顾分析2016年1—12月在我院就诊的76例尿路结石患者为研究对象,并采用数字表法均分为对照组(n=38)和观察组(n=38)。观察组采取输尿管肾镜取石术取石,对照组采取体外冲击波碎石术取石。比较两组尿路结石患者的治疗效果与术后并发症等。结果观察组尿路结石患者的治疗总有效率为97.37%,高于对照组的81.58%,差异有统计学意义(P<0.05);观察组尿路结石患者术后的并发症发生率为5.16%,低于对照组的26.32%,差异有统计学意义(P<0.05)。结论输尿管肾镜取石术的碎石效果优于体外冲击波碎石术,且术后的并发症较少。

Objective To evaluate the effect of ureteroscopic lithotripsy and extracorporeal shock wave lithotripsy in the treatment of urinary calculi. Methods This paper reviewed and analyzed 76 cases of urinary calculi from January to December 2016 in our hospital, they were divided into control group （n=38） and observation group （n=38） by digital meter method, observation group was treated with ureteroscopy and lithotomy, control group was treated with extracorporeal shock wave lithotripsy. The treatment effect and postoperative complications of urinary calculi in two groups were compared. Results The total effective rate of urinary calculi in the observation group was 97.37%, higher than that in the control group （81.58%）, and the difference was statistically significant （P 〈 0.05）. The incidence of postoperative complications in the observation group was 5.16%, which was lower than that in the control group （26.32%）, and the difference was statistically signifcant （P 〈 0.05）. Conclusion The effect of ureteroscopic lithotripsy is better than that of extracorporeal shock wave lithotripsy, and the complications are fewer.