中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
25期
33-35
,共3页
曾筱江%刘丽华%陈志辰%陈焕镇%袁小飞
曾篠江%劉麗華%陳誌辰%陳煥鎮%袁小飛
증소강%류려화%진지신%진환진%원소비
仰斜半截石位%腔内泌尿技术%尿路多发性结石%临床疗效
仰斜半截石位%腔內泌尿技術%尿路多髮性結石%臨床療效
앙사반절석위%강내비뇨기술%뇨로다발성결석%림상료효
Oblique half lithotomy position%Endourological technique%Multiple stone%Clinical efficacy
目的：探讨仰斜半截石位腔内泌尿技术治疗尿路多发性结石的临床效果及安全性。方法选取2012年10月~2013年10月本院门诊部收治的尿路多发性结石患者74例，将其随机分为研究组和对照组各37例，研究组给予仰斜半截石位下腔内泌尿技术治疗，对照组采用传统的体外震波碎石治疗，比较两组的手术时间、HCG值、碎石成功率、结石清除率及术后并发症发生率。结果研究组手术时间为(58.0±4.1)min，HCG值为(4.5±0.5)μg/L，术后碎石成功率为100.00%，术后结石清除率为94.59%；对照组手术时间为(69.0±4.5)min，HCG值为(6.8±1.2)μg/L，术后碎石成功率为86.48%，术后结石清除率为81.08%；两组差异有统计学意义(P<0.05)。研究组术后并发症发生率为8.11%，对照组术后并发症发生率为10.81%，差异无统计学意义(P>0.05)。结论仰斜半截石位腔内泌尿技术治疗尿路多发性结石的临床效果显著，且手术安全、高效，患者术中出血少，术后恢复快，具有较高的临床应用和推广价值。
目的：探討仰斜半截石位腔內泌尿技術治療尿路多髮性結石的臨床效果及安全性。方法選取2012年10月~2013年10月本院門診部收治的尿路多髮性結石患者74例，將其隨機分為研究組和對照組各37例，研究組給予仰斜半截石位下腔內泌尿技術治療，對照組採用傳統的體外震波碎石治療，比較兩組的手術時間、HCG值、碎石成功率、結石清除率及術後併髮癥髮生率。結果研究組手術時間為(58.0±4.1)min，HCG值為(4.5±0.5)μg/L，術後碎石成功率為100.00%，術後結石清除率為94.59%；對照組手術時間為(69.0±4.5)min，HCG值為(6.8±1.2)μg/L，術後碎石成功率為86.48%，術後結石清除率為81.08%；兩組差異有統計學意義(P<0.05)。研究組術後併髮癥髮生率為8.11%，對照組術後併髮癥髮生率為10.81%，差異無統計學意義(P>0.05)。結論仰斜半截石位腔內泌尿技術治療尿路多髮性結石的臨床效果顯著，且手術安全、高效，患者術中齣血少，術後恢複快，具有較高的臨床應用和推廣價值。
목적：탐토앙사반절석위강내비뇨기술치료뇨로다발성결석적림상효과급안전성。방법선취2012년10월~2013년10월본원문진부수치적뇨로다발성결석환자74례，장기수궤분위연구조화대조조각37례，연구조급여앙사반절석위하강내비뇨기술치료，대조조채용전통적체외진파쇄석치료，비교량조적수술시간、HCG치、쇄석성공솔、결석청제솔급술후병발증발생솔。결과연구조수술시간위(58.0±4.1)min，HCG치위(4.5±0.5)μg/L，술후쇄석성공솔위100.00%，술후결석청제솔위94.59%；대조조수술시간위(69.0±4.5)min，HCG치위(6.8±1.2)μg/L，술후쇄석성공솔위86.48%，술후결석청제솔위81.08%；량조차이유통계학의의(P<0.05)。연구조술후병발증발생솔위8.11%，대조조술후병발증발생솔위10.81%，차이무통계학의의(P>0.05)。결론앙사반절석위강내비뇨기술치료뇨로다발성결석적림상효과현저，차수술안전、고효，환자술중출혈소，술후회복쾌，구유교고적림상응용화추엄개치。
Objective To observe the clinical effect and safety of oblique half lithotomy position endourological tech-nique in the treatment of multiple stone. Methods 74 cases of patients with multiple stone treated in our hospital from October 2012 to October 2013 were selected and randomly divided into research group and control group,each group for 37 cases.The endourological technique of oblique half lithotomy position was given to the research group,and tradi-tional extracorporeal shock wave lithotripsy was given to the control group.The operative time,blood HCG values,gravel success rate,stone clearance rate and incidence of postoperative complications of the two groups were compared. Re-sults The average operation time of the research group was (58.0±4.1) min,HCG value was (4.5±0.5) μg/L,the success rate of stone after operation was 100.00%,and the stone clearance rate after operation was 94.59%;that of the control group was (69.0±4.5) min,(6.8±1.2)μg/L,86.48%and 81.08%respectively,which had statistical difference between two groups (P<0.05).The incidence rate of complications after operation in the research group was 8.11%,and that in the control group was 10.81%,which had no statistical difference (P>0.05). Conclusion Oblique half lithotomy position en-dourological technique treating patients with multiple stone not only has evident clinical effect,and is safe and efficient, but also make the patients recovery rapidly after operation,which is worthy of clinical promotion and application.
