体外冲击波与内镜手术治疗泌尿系结石效果的对比分析

Comparative Analysis of Extracorporeal Shock Wave and Endoscopic Surgery in the Treatment of Urinary Calculi

目的分析体外冲击波与内镜手术治疗泌尿系结石的临床效果。方法方便选择该院自2016年3月—2017年4月期间收治的泌尿结石患者70例,依据患者治疗方法差异性均分两组。实施内镜手术治疗的35例患者为研究组,实施体外冲击波治疗的35例患者为参照组,最后对两组泌尿结石患者的治疗效果进行统计和总结。结果通过实施不同方法治疗后,研究组患者的住院天数、下床活动时间同参照组比对明显较短,VAS评分改善也较为显著,组间数据结果检验后,差异有统计学意义(P<0.05)。比对两组患者的并发症发生率,研究组(11.6%)与参照组(14.5%)未形成显著性差异,差异无统计学意义(P>0.05)。另外,从结石清除率结果来看,研究组(91.4%)与参照组(88.6%)比对,差异无统计学意义(P>0.05)。结论泌尿结合患者实施上述两种治疗手段,其治疗效果雷同。若患者的结石直径在1.5cm之上,实施内镜手术更具优势,同时可以使患者的痛苦得以减轻,临床应用价值存在。

Objective This paper tries to analyze the clinical effect of extracorporeal shock wave and endoscopic surgery in the treatment of urinary calculi. Methods 70 cases of urinary calculi admitted in this hospital from March 2016 to April2017 were convenient selected and were equally divided into two groups according to the different treatment methods. 35 patients underwent endoscopic surgery were regarded as the study group, and 35 patients implemented vitro shock wave were regarded as the control group, and finally the urinary stones treatment effects of the two groups were concluded and summarized. Results After different methods of treatment, the hospital stay and the time of getting out of bed in the study group were significantly shorter than those in the control group, and the improvement of VAS score was also significant The difference was statistically significant（P〉0.05）. The incidence of complications in the two groups was not significantly different, the study group was 11.6% and the control group was 14.5%, The difference was not statistically significant（P0.05）.In addition, from the results of stone clearance rate, the study group was 91.4%, and that in the control group was 88.6%,without significant difference（P0.05）. Conclusion For urology calculi patients, the implementation of the above two treatment methods can achieve similar. Results If the patient＇s stone diameter reaches above 1.5 cm, the implementation of endoscopic surgery is more advantageous, while the patient＇s pain can be reduced, which is of great clinical value.