不同时机体外冲击波碎石术治疗双侧输尿管结石的效果对比

Comparison of the Effects of Extracorporeal Shock Wave Lithotripsy in the Treatment of Bilateral Ureteral Calculi at Different Times

目的:研究不同时机体外冲击波碎石术治疗双侧输尿管结石的效果。方法:纳入2017年7月~2018年6月收治的78例双侧输尿管结石患者展开研究,按照碎石次数分为对照组和观察组各39例,对照组在接受两次体外冲击波碎石术后进行手术治疗,观察组在进行1次体外冲击波碎石术后进行手术治疗,将两组的临床疗效、肾功能、并发症发生情况进行比对。结果:观察组双侧输尿管结石患者的临床总有效率(92.31%)明显高于对照组,术后的BUN水平(5.22±1.17)mmol/L、Cr(111.62±10.69)μmol/L以及并发症发生率(10.26%)均明显低于对照组,差异具有统计学意义(P<0.05)。结论:双侧输尿管结石患者经1次体外冲击波碎石术后排石效果不理想尽早进行手术取石治疗的效果高于两次体外冲击波碎石术后进行手术治疗,可使肾功能损伤程度降低,安全性更高。

Objective:To study the effect of extracorporeal shock wave lithotripsy(eswl)in the treatment of bilateral ureteral calculi.Methods:78 patients with bilateral ureteral calculi admitted to a hospital from July 2017 to June 2018 were slected and divided into two groups according to the number of lithotripsy.39 patients in the control group received two extracorporeal shock wave lithotripsy for surgical treatment,while 39 patients in the observation group received one extracorporeal shock wave lithotripsy for surgical treatment.The clinical efficacy,renal function and complications of the two groups were compared.Results:The total clinical effective rate in the observation group(92.31%)was significantly higher than that in the control group,the postoperative BUN levels(5.22±1.17)mmol/L,Cr(111.62±10.69)μmol/L and the incidence of complications(10.26%)were significantly lower than those of the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:The effect of lithotomy in bilateral ureteral calculi after one extracorporeal shock wave lithotripsy is not ideal,and the effect of surgical lithotripsy treatment as soon as possible is higher than that after two extracorporeal shock wave lithotripsy,which can reduce the degree of renal function injury,with higher safety.