摘要
分析体外冲击波碎石(extracorporeal shock wave lithotripsy,ESWL)治疗无效的输尿管结石伴感染患者不同手术治疗时机的选择及其具体作用。选取2021年1月—2023年6月贵州省瓮安县人民医院经ESWL治疗无效的82例输尿管结石伴感染患者为研究对象,将患者按照不同手术治疗时机以及患者病情进行分组,分为两组,每组各41例。观察组患者在ESWL治疗无效后立即行逆行经尿道输尿管镜碎石取石术(ureteroscopic lithotripsy,URL)治疗,对照组患者在ESWL治疗无效后7天行URL治疗,比较两组患者治疗效果。结果显示,观察组患者治疗总有效率和结石清除率高于对照组(P<0.05),并发症总发生率低于对照组(P<0.05);术后,观察组患者IPSS评分低于对照组(P<0.05),血清学指标和生活质量评分优于对照组(P<0.05);观察组患者临床症状消失时间短于对照组(P<0.05)。研究发现,对ESWL治疗无效的输尿管结石伴感染患者立即行URL治疗,可提高结石清除率,减少术后并发症,改善患者前列腺症状和生活质量,缩短患者临床症状消失时间,优化患者血清学指标。
To analyze the different operative timing and specific effects of extracorporeal shock wave lithotripsy(ESWL)in patients with ureteral calculi accompanied by infection.A total of 82 patients with ureteral calculi accompanied with infection who failed to receive ESWL treatment in Weng‘an County People’s Hospital of Guizhou Province from January 2021 to June 2023 were selected as the study objects,and the patients were divided into two groups according to different surgical treatment opportunities and patient conditions,with 41 cases in each group.Patients in the observation group were treated with retrograde transeuroscopic lithotripsy(URL)immediately after ESWL treatment was ineffective,while patients in the control group were treated with URL 7 days after ESWL treatment was ineffective,and the therapeutic effects of the two groups were compared.The results showed that the total effective rate and stone clearance rate of observation group were higher than those of control group(P<0.05),and the total incidence of complications was lower than that of control group(P<0.05).After operation,IPSS score of observation group was lower than control group(P<0.05),serological index and quality of life score were better than control group(P<0.05).The disappearance time of clinical symptoms in observation group was shorter than that in control group(P<0.05).The study found that in patients with ureteral calculi accompanied by infection who did not respond to ESWL treatment,immediate URL treatment can improve stone clearance rate,reduce postoperative complications,improve prostate symptoms and quality of life of patients,shorten the time for clinical symptoms to disappear,and optimize serological indicators of patients.
作者
吴发军
Wu Fajun(Weng’an County People’s Hospital,Weng’an,Guizhou 550400)
出处
《科技与健康》
2024年第8期49-52,共4页
Technology and Health
关键词
体外冲击波碎石
输尿管结石
感染
结石清除率
治疗效果
extracorporeal shock wave lithotripsy
urethral stones
infection
stone clearance rate
treatment effect
