摘要
目的:探讨膀胱结石患者应用气压弹道碎石技术的效果以及对肾功能不全的影响。方法:选取2013年1月-2017年12月本院收治的膀胱结石患者60例。按照随机数字表法将其分为研究组(n=30)和对照组(n=30)。对照组采用常规开放性取石技术进行治疗,研究组采用气压弹道碎石技术进行治疗。比较两组生化指标、手术及术后情况、生活质量。结果:研究组血液尿素氮、肌酐、血磷均低于对照组,血钙高于对照组,比较差异均有统计学意义(P<0.05);研究组手术出血量、手术时间、尿管留置时长、并发症均少于对照组,比较差异均有统计学意义(P<0.05);治疗后,研究组各项生活质量评分均高于对照组,比较差异均有统计学意义(P<0.05)。结论:用气压弹道碎石技术治疗膀胱结石有良好的效果,明显降低了术中出血量以及术后并发症发生率,对于肾功能有较为明显的改善,患者术后生活质量较高,是一种具有较高价值的膀胱结石治疗方法。
Objective:To investigate the effect of pneumatic lithotripsy on patients with bladder calculi and effect on renal insufficiency.Method:A total of 60 patients with bladder calculi admitted to our hospital from January 2013 to December 2017 were selected.According to random number table method,they were divided into study group(n=30) and control group(n=30).The control group was treated with conventional open lithotripsy, while study group was treated with pneumatic lithotripsy.The biochemical indicators,operation and postoperative condition,and quality of life were compared between the two groups.Result:The blood urea nitrogen,creatinine and blood phosphorus in the study group were lower than those of control group,and the blood calcium level was higher than that of control group,the differences were statistically significant(P〈0.05).The intraoperative blood loss,operative time,catheter retention time and complications of study group were all less than those of control group,the differences were statistically significant(P〈0.05).After treatment,the each quality of life scores of study group were higher than those of control group,the differences were statistically significant(P〈0.05). Conclusion:Pneumatic lithotripsy has a good effect in treatment of bladder calculi,can significantly reduce the intraoperative blood loss and postoperative complications,for renal function has been significantly improved,the quality of life of patients after surgery is high,has a high value of bladder calculi treatment.
作者
李永青
LIYongqing(Yunfu People's Hospital,Yunfu 527300,China)
出处
《中国医学创新》
CAS
2018年第27期42-45,共4页
Medical Innovation of China