摘要
目的比较对于输尿管中下段结石伴急性肾绞痛患者采取急诊不同碎石术的疗效。方法回顾性收集2020年1月至2023年12月来漳州市医院进行治疗的150例输尿管中下段结石并急性肾绞痛的患者病例,根据碎石术式的不同分为观察组与对照组,观察组采用输尿管镜碎石术(Ureteroscopic Lithotripsy,USL)治疗,对照组采用体外冲击波碎石术(Extracorporeal Shock Wave Lithotripsy,ESWL)治疗,每组各75例。对比两组患者的住院相关指标、结石清除率及并发症情况。结果观察组手术时间、术后血尿时间均比对照组短(P<0.001),但观察组住院时长及住院费用均高于对照组(P<0.001)。观察组结石清除率为94.67%,显著高于对照组的81.33%(P<0.05)。观察组并发症发生率为8.00%,与对照组的12.00%相比,无显著差异(P>0.05)。结论对于输尿管中下段结石,USL可缩短手术时间、减少血尿时间,且具有较高的结石排出率和安全性,但费用较高。
Objective To compare the efficacy of different emergency lithotripsy techniques in patients with mid-to-distal ureteral stones accompanied by acute renal colic.Methods A retrospective analysis was conducted on 150 cases of mid-to-distal ureteral stones with acute renal colic treated in our hospital from January 2020 to December 2023.Patients were divided into two groups based on the lithotripsy method:the ureteroscopic lithotripsy(USL)treatment group(observation group,n=75)and the extracorporeal shock wave lithotripsy(ESWL)treatment group(control group,n=75).Hospital-related indicators,stone clearance rate,and complication rates were compared between the two groups.Results The observation group had shorter surgery time and postoperative hematuria duration compared to the control group(P<0.001).However,the observation group had longer hospital stays and higher hospitalization costs than the control group(P<0.001).The stone clearance rate in the observation group was 94.67%,significantly higher than that in the control group(81.33%)(P<0.05).The complication rate in the observation group was 8.00%,not significantly different from that in the control group(12.00%)(P>0.05).Conclusion For mid-to-distal ureteral stones,USL can shorten surgery time and reduce hematuria duration,offering a higher stone clearance rate and safety,albeit at a higher cost.
作者
万金平
WAN Jinping(Zhangzhou HospitalUrology and Oncology Department,Zhangzhou 363000,China)
出处
《中华灾害救援医学》
2024年第8期912-914,共3页
Chinese Journal of Disaster Medicine
关键词
输尿管结石
输尿管镜
碎石术
手术后并发症
ureteral calculi
ureteroscopes
lithotripsy
postoperative complications
