体外冲击波碎石术治疗下尿路结石的并发症及影响因素

Complications and Influencing Factors of Extracorporeal Shock Wave Lithotripsy for the Treatment of Lower Urinary Calculi

目的探讨体外冲击波碎石术治疗下尿路结石的并发症及影响因素。方法回顾性分析2015年1月—2017年8月我院收治的行体外冲击波碎石术治疗的下尿路结石患者63例的临床资料。统计全部患者的并发症情况,分析引起并发症的危险因素。结果 63例患者中,血尿42例(66.67%),疼痛18例(28.57%)。并发症患者结石最长径与体外冲击次数与无并发症患者对比,差异具有统计学意义(P<0.05)。结论血尿和疼痛为体外冲击波碎石术后常见并发症,结石最长径与体外冲击次数是导致患者并发症的独立影响因素。

Objective To investigate the factors of complications and effects of extracorporeal shock wave lithotripsy in treatment of lower urinary tract stones. Methods The clinical data of 63 patients with lower urinary calculi treated with extracorporeal shock wave lithotripsy in our hospital from January 2015 to August 2017 were retrospectively analyzed. The complications were analyzed and the risk factors of complications were analyzed. Results Among 63 patients, 42 cases（66.67%） were hematuria, and 18 cases（28.57%） were pain. The longest diameter of stone and the number of extracorporeal shock in patients with complications were compared with those without complications, the difference was statistically significant（P〈0.05）. Conclusion Hematuria and pain are the common complications after extracorporeal shock wave lithotripsy, and the longest diameter and the number of extracorporeal shock are the independent factors affecting the complications.