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体外冲击波碎石后不同手术时机治疗输尿管结石的疗效比较 被引量:13

Comparison of the effect of different operation opportunity for treatment of ureteral calculi after extracorporeal shock wave lithotripsy
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摘要 目的:对比研究体外冲击波碎石后不同手术时机治疗输尿管结石的临床疗效。方法:选取2015年5月至2016年12月接受两次体外冲击波碎石后手术治疗的41例患者作为A组,另选取同期接受3次以上体外冲击波碎石后手术治疗的41例患者作为B组。对比两组临床疗效、并发症发生情况、治疗前后BUN与Cr水平及生活质量。结果:A组治疗总有效率为95.12%,高于B组的68.29%(P<0.05)。A组术后感染、肾积水、梗阻发生率分别为36.59%、24.39%、19.51%,均低于B组的68.29%、56.10%、48.78%(P<0.05)。治疗后A组BUN、Cr水平均低于B组(P<0.05)。治疗后A组SF-36生活质量量表各项目评分均高于B组(P<0.05)。结论:患者接受体外冲击波碎石治疗2次及以上无法顺利排出结石时,应尽早接受手术治疗,以提高临床治疗效果,减少并发症的发生,有效促进肾功能的恢复,提高生活质量。 Objective: To compare the clinical effects of different operative opportunity for the treatment of ureteral calculi after extracorporeal shock wave lithotripsy. Methods: From May 2015 to Dec. 2016,41 patients who underwent surgery after twice extracorporeal shock wave lithotripsy were selected as group A,and 41 patients who underwent surgery after more than three times extracorporeal shock wave lithotripsy were selected as group B. Clinical curative effect,complications,BUN and Cr levels before and after the treatment,and the quality of life were compared between the two groups. Results: Total treatment effective rate of group A was 95. 12%,which was higher than that of group B( 68. 29%,P〈0. 05). The postoperative infection,hydronephrosis,obstruction rate of group A was 36. 59%,24. 49% and 19. 51% respectively,which were less than those of the group B( 68. 29%,56. 10% and 48. 78% respectively,P〈0. 05). After treatment,levels of BUN and Cr of group A were lower than those of group( P〈0. 05). After treatment,each item of SF-36 scale in group A was higher than that in group B( P〈0. 05). Conclusions: If ureteral calculi could not be successfully discharged after twice or more extracorporeal shock wave lithotripsy,surgical treatment should be accepted as soon as possible in order to improve clinical therapeutic effect,recovery of renal function,quality of life,and decrease complications.
作者 谢留定 白志功 宋中建 于民 张彬 XIE Liu-ding BAI Zhi-gong SONG Zhong-jian(Department of Urology, the First People's Hospital of Zhumadian City, Zhumadian 463000, Chin)
出处 《腹腔镜外科杂志》 2017年第7期497-500,共4页 Journal of Laparoscopic Surgery
关键词 输尿管结石 碎石术 手术时机 疗效比较研究 Ureteral calculi Lithotripsy Operation opportunity Comparative effectiveness research
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