超声定位体外冲击波碎石治疗泌尿系结石的临床观察

Clinical Observation of Extracorporeal Shockwave Lithotripsy in the Treatment of Urinary Calculi by Ultrasound

目的为了给泌尿系结石患者提供好的治疗方案,提高其治疗效果以及对治疗的满意度。方法分别选取2015年1月至2016年6月以及2016年7月至2017年12月各150例泌尿系结石患者的临床资料作为研究对象,常规治疗的患者为对照组,超声定位体外冲击波碎石法进行治疗的为实验组,统计分组后患者的治疗效果。结果根据分组后的临床病例记载情况,实验组患者经过治疗后临床总有效率94.7%明显高于对照组患者的74.7%;同时实验组患者对治疗的总满意度93.3%明显高于对照组患者的78.7%;实验组患者在治疗期间出现2例肉眼及镜下可见的血尿,未经过特殊处理1-2 d内自行消失;有1例患者出现输尿管痛,给予解痉和利尿治疗后疼痛缓解;对照组患者在用药治疗出现2例发热,给予退热治疗后缓解,2例患者有轻微的胃肠道不良反应,未作任何处理自行缓解。结论超声定位体外冲击波碎石治疗泌尿结石疗效显著,具有一定的临床应用价值。

Objective to provide a good treatment plan for patients with urinary calculi, improve the treatment effect and satisfaction. Methods clinical data of 150 patients with urinary calculi from January 2015 to June 2016 and July 2016 to December 2017 were selected as the study objects. Patients receiving conventional treatment were the control group, and those receiving ultrasound-guided extracorporeal shockwave lithotripsy were the experimental group. The results of the treatment of patients after grouping were counted. Results according to the clinical case records after treatment, the total clinical effective rate of the experimental group was 94.7%, which was higher than that of the control group 74.7%.At the same time, the total satisfaction of patients in the experimental group was 93.3% higher than that of the control group（78.7%）. During the treatment, 2 cases of hematuria were visible to the naked eye and under the microscope, which disappeared without special treatment within 1-2 days. Ureteral pain occurred in 1 patient, and pain was relieved after spasmolysis and diuresis. In the control group, 2 cases of fever appeared during the treatment with the drug, which were relieved after the treatment with the antipyretic treatment, and 2 cases had slight gastrointestinal adverse reactions, which were relieved by themselves without any treatment. Conclusion the treatment of urinary calculi with extracorporeal shockwave lithotripsy by ultrasound is effective and valuable in clinic.