体外冲击波碎石术与开放手术治疗尿路结石的效果比较

Comparison of Extracorporeal Shock Wave Lithotripsy and Open Surgery in the Treatment of Urinary Calculi

目的:对比体外冲击波碎石术与开放手术治疗尿路结石的临床效果。方法:随机抽取某院收治的88例尿路结石患者作为此次研究对象,病例选择时间为2015年6月~2018年12月,88例患者依据治疗方法的差异性分为体外组(n=52)和开放组(n=36),比较两种治疗方法的临床应用效果。结果:对比观察组以及对照组患者治疗总有效率,组间数据并无统计学意义(P>0.05);观察组患者复发率为3.85%,对照组患者复发率为19.44%,组间数据经对比存在统计学意义;观察组患者经过治疗后血尿、泌尿系统以及尿路感染发生率均低于对照组,组间数据经对比存在统计学意义。结论:体外冲击波碎石术与开放手术对尿路结石进行治疗,均存在良好的疗效,但体外冲击波碎石术可降低并发症发生率,安全性显著,临床治疗中可优先采用该方法。

Objective:To compare the clinical effects of extracorporeal shock wave lithotripsy and open surgery in the treatment of urinary calculi.Methods:88 patients with urinary calculi treated in a hospital from June 2015 to December 2018 were randomly selected and divided into in vitro group(n=52)and open group(n=36)according to the difference of treatment methods.The clinical effects of the two methods were compared.Results:There was no significant difference in the total effective rate between the observation group and the control group(P>0.05).The recurrence rate was 3.85%in the observation group and 19.44%in the control group,and there was significant difference between the two groups.After treatment,the incidence of hematuria,urinary system and urinary tract infection in the observation group was lower than that in the control group,and there was statistical significance between the two groups.Conclusion:Extracorporeal shock wave lithotripsy and open operation are effective in the treatment of urinary calculi,but extracorporeal shock wave lithotripsy can reduce the incidence of complications and is safe.This method can be given priority in clinical treatment.