成人尿道结石并急性尿潴留急诊微创治疗的效果研究

The effect of minimally invasive treatment for adult urethral calculi and acute urinary retention

目的探析急诊微创治疗成人尿道结石合并急性尿潴留的临床效果。方法选择60例尿道结石合并急性尿潴留患者为研究对象,按照数字随机表法分为两组,其中给予对照组常规治疗,而观察组则运用微创治疗,比较两组治疗效果。结果两组均顺利完成手术治疗,观察组的住院时间、手术时间以及术中出血量分别为(7.1±1.1)d、(39.1±7.8)min、(45.6±5.6)m L,明显优于对照组的(10.9±1.5)d、(74.5±10.3)min、(56.1±11.2)m L,组间比较差异有统计学意义(P<0.05);观察组的并发症发生率和复发率分别为6.67%、3.33%,均低于对照组的30.00%、23.33%,组间比较差异有统计学意义(P<0.05);同时,两组的残余尿量、Qmax、QOL评分以及IPSS评分比较差异有统计意义(P<0.05)。结论临床上运用(经皮)肾镜下气压弹道碎石术治疗成人尿道结石合并急性尿潴留,不仅具有恢复快、损伤小、操作简单等诸多优点,还能降低复发率,改善患者预后,值得推广。

Objective Analysis to the emergency of minimally invasive treatment for adult clinical effect of urethral stone with acute urinary retention.Methods 60 patients with urethral stone with acute urinary retention as the research object, in accordance with the table Numbers randomly divided into two groups, which give control group routine treatment, while the observation group using minimally invasive treatment, compared two groups of therapeutic effect. Results Two groups were successfully completed surgery, observation group of the length of hospital stay, operative time and intraoperative blood loss, respectively (7.1 ± 1.1) d, (39.1 ± 7.8) min and (45.6 ± 5.6) mL, significantly better than that of control group (10.9 ± 1.5) d, (74.5 ± 10.3) min and (56.1 ± 11.2) mL, compare the difference between groups was statistically significant (P < 0.05); Observation group the incidence of complications and recurrence rate were 6.67%, 6.67%, respectively, both lower than the control group were 30%, 23.33%,compare the difference between groups was statistically significant (P < 0.05); At the same time, two groups of residual urine volume, Qmax, QOL score, and IPSS score comparison difference had statistical significance (P < 0.05). Conclusion Clinical use (percutaneous nephroscope pneumatic ballistic lithotripsy under the treatment of adult urethral stone with acute urinary retention, not only has quick recovery, small injury, the operation is simple, and many other advantages, also can reduce the recurrence rate and improve patients prognosis, is worth promoting.