CAJ | 학술논문

目的比较急诊ESWL(发生肾绞痛24 h以内行ESWL)与择期ESWL(发生肾绞痛后5～14 d内行ESWL)两种方法治疗输尿管结石的疗效.方法 2008年1月至2009年10月在南昌市第二医院行ESWL治疗的输尿管结石患者365例,共分为两组:治疗组(即急诊ESWL治疗组)、对照组(即择期ESWL治疗组).所有患者在采用ESWL治疗时均按发病后初次就诊先后顺序选择急诊ESWL或择期ESWL治疗,两组患者均采用HK.ESWL-108能量电磁冲击波碎石机碎石.观察两组输尿管结石患者碎石成功率、2周结石排净率、术后再发疼痛率、并发症发生率,并进行比较.利用SPSS 15.0对试验数据进行统计学处理.结果治疗组(即急诊ESWL治疗组)治疗输尿管结石碎石成功率(96.76%)、2周结石排净率(96.21%)、术后再发疼痛率(4.32%)均分别优于对照组(即择期ESWL治疗组)的88.33%,87.22%,9.44%,差异具有统计学意义(P＜0.05).而两组并发症发生率分别为3.24%和2.78%,差异无统计学意义(P＞0.05).结论急诊ESWL治疗输尿管结石的疗效更优于择期ESWL治疗输尿管结石的疗效,两者均是一种较安全、有效的治疗方法.
목적 비교급진ESWL(발생신교통24 h이내행ESWL)여택기ESWL(발생신교통후5～14 d내행ESWL)량충방법치료수뇨관결석적료효.방법 2008년1월지2009년10월재남창시제이의원행ESWL치료적수뇨관결석환자365례,공분위량조:치료조(즉급진ESWL치료조)、대조조(즉택기ESWL치료조).소유환자재채용ESWL치료시균안발병후초차취진선후순서선택급진ESWL혹택기ESWL치료,량조환자균채용HK.ESWL-108능량전자충격파쇄석궤쇄석.관찰량조수뇨관결석환자쇄석성공솔、2주결석배정솔、술후재발동통솔、병발증발생솔,병진행비교.이용SPSS 15.0대시험수거진행통계학처리.결과 치료조(즉급진ESWL치료조)치료수뇨관결석쇄석성공솔(96.76%)、2주결석배정솔(96.21%)、술후재발동통솔(4.32%)균분별우우대조조(즉택기ESWL치료조)적88.33%,87.22%,9.44%,차이구유통계학의의(P＜0.05).이량조병발증발생솔분별위3.24%화2.78%,차이무통계학의의(P＞0.05).결론 급진ESWL치료수뇨관결석적료효경우우택기ESWL치료수뇨관결석적료효,량자균시일충교안전、유효적치료방법.
Objective To compare the efficacy of the emergency ESWL within 24 hours after the onset of renal colic and elective ESWL at 5 - 7 days after the onset of renal colic in the treatment for ureteral stones.Method From January 2008 to October 2009, 365 patients in the Second Hospital of Nanchang, with ureteral stones were admitted to our department for renal colic. They underwent emergency ESWL or elective ESWL with HK. ESWL- 108 energy electromagnetic shock wave lithotripter. Success rate of fragmentation, stone-free rate after 2 weeks of operation, pain recurrence rate, and complications were evaluated. The data were analyzed using SPSS 15.0. Results The success rate of fragmentation and the stone-free rate after 2 weeks of emergency ESWL were 96.76% and96.21%, respectively, which were higher than those (88.33% and 87.22%, respectively) of elective ESWL ( P ＜ 0. 05). The postoperative pain recurrence rate of emergency ESWL ( 4.32 % ) was lower than that (9.44%) of elective ESWL ( P ＜0.05). There was no difference of total complications between emergency ESWL (3.24%) and elective ESWL (2.78%) group (P ＞0.05). Conclusions Emergency ESWL is superior to selective ESWL and is the safe and effective method for the management of ureteral stones.