摘要
目的:探讨输尿管封堵器联合气压弹道碎石治疗输尿管结石的临床疗效。方法:将2011年5月至2012年11月收治的78例输尿管结石患者随机分为观察组40例和对照组38例。对照组采用气压弹道碎石术,观察组采用输尿管封堵器联合气压弹道碎石术。对比两组手术疗效、手术时间、住院时间、血尿时间、BuN和cr水平变化和不良反应发生率。结果:观察组一次性碎石率、一个月结石排净率、治疗后有效率均显著高于对照组(P<0.05);观察组需要再次手术人数明显低于对照组(P<0.05)。观察组手术时间、血尿时间、住院时间、BUN和cr水平均少于时照组(P<0.05)。观察组肾绞痛、发热、胃肠道反应等不良反应发生率明显低于对照组(P<0.05);但观察组血尿发生率明显高于对照组(P<0.05),结论:输尿管封堵器联合气压弹道碎石治疗输尿管结石既能提高碎石成功率。还能降低医疗成本。值得临床推广。
Objective： To determine the efficacy of ureteral occlusion apparatus in combination with pneumatic lithotripsy for the treatment of ureteral calculi. Methods： We randomly allocated 78 patients with ureteral calculi admitted between May 2011 and November 2012 to be treated with pneumatic ballistic lithotripsy alone （control group, n = 38 ） or in combination with ureteral occlusion apparatus （observation group, n = 40）. This entailed comparison on the surgical outcomes, duration of surgery, hospital stay, duration of hematuria, changes in blood urea nitrogen （BUN） and creatinine （Cr） and the adverse reactions. Results： The observation group yielded significantly higher single successful rates of lithotripsy, excretion of calculus and effective treatment compared with control group （ all P 〈 0.05 ）. The observation group was associated with markedly reduced number of patients needing repetitive surgeries, shortened duration of surgery, hospital stay, duration of hematuria and significantly lower levels of BUN and Cr than control group （ all P 〈 0.05 ）. A substantially lower incidence of postoperative complications, including renal colic, fever and gastrointestinal reactions yet higher incidence of hematuria, was noted in the observation group （ all P 〈 0.05 ）. Conclusion： Ureteral occlusion apparatus in combination with pneumatic lithotripsy is associated with improved success rate of lithotripsy and reduced medical costs for the treatment of ureteral calculi and deserves clinical promotion.
出处
《广州医学院学报》
2013年第4期30-33,共4页
Academic Journal of Guangzhou Medical College
关键词
输尿管封堵器
气压弹道碎石
输尿管结石
临床研究
ureteral occlusion apparatus
pneumatic ballistic lithotripsy
ureteral calculus
clinicalresearch
