中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
19期
20-21
,共2页
经输尿管镜取石术%体外冲击波碎石%结石清除率
經輸尿管鏡取石術%體外遲擊波碎石%結石清除率
경수뇨관경취석술%체외충격파쇄석%결석청제솔
Ureteroscopic lithotripsy%Extracorporeal shock wave lithotripsy%Clearance rate of stones
目的：对比研究经输尿管镜取石术在治疗复杂性输尿管上段结石中的临床疗效。方法：选取2010年1月-2012年1月于本院接受治疗的复杂性输尿管上段结石患者70例，将70例患者随机分为实验组和对照组，每组35例，实验组患者接受经输尿管镜取石术（URL）清除结石，对照组患者接受体外冲击波碎石（ESWL）清除结石。手术后1周内和第4周内对患者进行复查，对术后4周仍发现结石的患者等待到术后2个月再次复查同样的项目。对所有患者进行随访，随访时间为2~10个月，平均6个月。对两组的手术时间、术后住院时间、一次手术成功率、出血量、结石清除率、并发症等指标进行评价。结果：治疗后实验组（URL）的一次手术成功率与对照组（ESWL）相比差异具有统计学意义（P<0.05）；术后1周结石清除率实验组和对照组分别为68.9%和34.5%，术后1个月结石清除率分别为78.3%和44.3%，两组相比差异具有统计学意义（P<0.05）；其余各项指标两组差异无统计学意义（P>0.05）。结论：综合考虑治疗复杂性输尿管上段结石使用 URL 方法的临床疗效更佳。
目的：對比研究經輸尿管鏡取石術在治療複雜性輸尿管上段結石中的臨床療效。方法：選取2010年1月-2012年1月于本院接受治療的複雜性輸尿管上段結石患者70例，將70例患者隨機分為實驗組和對照組，每組35例，實驗組患者接受經輸尿管鏡取石術（URL）清除結石，對照組患者接受體外遲擊波碎石（ESWL）清除結石。手術後1週內和第4週內對患者進行複查，對術後4週仍髮現結石的患者等待到術後2箇月再次複查同樣的項目。對所有患者進行隨訪，隨訪時間為2~10箇月，平均6箇月。對兩組的手術時間、術後住院時間、一次手術成功率、齣血量、結石清除率、併髮癥等指標進行評價。結果：治療後實驗組（URL）的一次手術成功率與對照組（ESWL）相比差異具有統計學意義（P<0.05）；術後1週結石清除率實驗組和對照組分彆為68.9%和34.5%，術後1箇月結石清除率分彆為78.3%和44.3%，兩組相比差異具有統計學意義（P<0.05）；其餘各項指標兩組差異無統計學意義（P>0.05）。結論：綜閤攷慮治療複雜性輸尿管上段結石使用 URL 方法的臨床療效更佳。
목적：대비연구경수뇨관경취석술재치료복잡성수뇨관상단결석중적림상료효。방법：선취2010년1월-2012년1월우본원접수치료적복잡성수뇨관상단결석환자70례，장70례환자수궤분위실험조화대조조，매조35례，실험조환자접수경수뇨관경취석술（URL）청제결석，대조조환자접수체외충격파쇄석（ESWL）청제결석。수술후1주내화제4주내대환자진행복사，대술후4주잉발현결석적환자등대도술후2개월재차복사동양적항목。대소유환자진행수방，수방시간위2~10개월，평균6개월。대량조적수술시간、술후주원시간、일차수술성공솔、출혈량、결석청제솔、병발증등지표진행평개。결과：치료후실험조（URL）적일차수술성공솔여대조조（ESWL）상비차이구유통계학의의（P<0.05）；술후1주결석청제솔실험조화대조조분별위68.9%화34.5%，술후1개월결석청제솔분별위78.3%화44.3%，량조상비차이구유통계학의의（P<0.05）；기여각항지표량조차이무통계학의의（P>0.05）。결론：종합고필치료복잡성수뇨관상단결석사용 URL 방법적림상료효경가。
Objective:To compare and analyze clinical effects of ureteroscopic lithotripsy(URL)in the treatment of complicated ureteral calculi. Method:70 patients who had received treatments of URL in our hospital from January 2010 to January 2012 were chosen,the patients were randomly divided into experimental and control groups,35 people in each group. The experimental group received treatment of URL to remove stones,whereas the control group undergone treatment of extracorporeal shock wave lithotripsy(ESWL). 1 week and 4 weeks after the surgery,all patient were reviewed. Patients who were found with stones need to be rechecked until two months after the review. All patients were followed up for 2-10 months,with an average of six months. The treatment effects were evaluated based on the following standards:operation time,time of postoperative hospital stay,rate of successful surgery,the amount of bleeding,clearance rate of stones,complications,and other indicators.Result:After treatment,the successful rate of experimental group was significantly higher than that of the control group(P<0.05);the clearance rate of stones after 1 week of the treatment for the experimental and control groups were 68.9% and 34.5 % respectively,the clearance rate of stones after 1 month of the treatment for the experimental and control groups were 78.3% and 44.3% respectively,the differences between two groups were statistically significant(P<0.05);remaining indicators between two groups were not significantly different(P>0.05).Conclusion:URL is a feasible and effective method to treat complicated ureteral calculi.
