不同时点行ESWL术治疗输尿管结石的效果观察

The curative effect of emergency ESWL and selective ESWL on the treatment of ureteral calculi

目的探究输尿管结石病人在使用急诊ESWL(体外冲击波碎石术)与择期ESWL两种方法治疗后的效果。方法研究对象为本院2016年7月-2017年7月收治的90例输尿管结石病人,将其采用随机数字表法分成观察组与对照组,44例观察组采用急诊ESWL治疗,另46例对照组采用择期ESWL治疗。探讨实施不同治疗对碎石成功率、结石排净率、再次疼痛率及并发症发生率的影响。结果在碎石成功率上,观察组(97.72%)显著比对照组(84.78%)高(P <0.05);在结石排净率上,观察组(95.45%)显著比对照组(80.43%)高(P <0.05);在再次疼痛率上,观察组(4.55%)显著比对照组(19.57%)低(P <0.05),且在并发症发生率上,观察组(4.55%)与对照组(19.57%)无显著差异(P> 0.05)。结论急诊ESWL与择期ESWL两种方法治疗输尿管结石时,其并发症发生率相近,但急诊ESWL能显著提升碎石成功率、结石排净率,降低再次疼痛率,此方法值得应用与推广。

Objective To study the effect of emergency ESWL（extracorporeal shock wave lithotripsy） and selective ESWL treatment on patients with ureteral calculi. Methods 88 cases with ureteral calculi being treated in our hospital from July 2016 to July2017 were chosen as the research objects, and all cases were divided into observation group and control group by random number method. 44 cases of observation group were treated with emergency ESWL, the other 46 cases of control group were treated by selective ESWL. The influence of different treatments on the success rate of lithotripsy, the rate of stone removal, the rate of re-pain and the incidence of complications were discussed. Results In the success rate of lithotripsy, the observation group（97.72%）was significantly higher than that of the control group（84.78%）（P 0.05）;In the stone removal rate, the observation group（95.45%）was significantly higher than that of the control group（80.43%）（P〈0.05）;In the rate of re pain, the observation group（4.55%）was significantly lower than that of the control group（19.57%）（P〈0.05）, and in the incidence of complications, there was no significant difference between the observation group（4.55%）and the control group（19.57%）（P〉0.05）. Conclusion Emergency ESWL and selective ESWL are two ways to treat ureteral calculi, the incidence of complications is similar, however, emergency ESWL can significantly improve the success rate of lithotripsy, the rate of stone removal, and the reduction of the rate of re pain, this method is worthy of application and promotion.