中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2014年
29期
4-5
,共2页
瑞士EMS三代碎石清石系统%肾结石%钬激光碎石术
瑞士EMS三代碎石清石繫統%腎結石%鈥激光碎石術
서사EMS삼대쇄석청석계통%신결석%화격광쇄석술
Switzerland EMS three generations of rubble stone system%Kidney stones%Holmium laser lithotripsy
目的:观察采取瑞士EMS三代碎石清石系统治疗肾结石疗效,并分析其安全性。方法选择本院于2013年1月至2014年1月收治的肾结石患者240例为研究对象(结合临床表现及相关影像学的表现,符合肾结石诊断标准),按照数字随机法分为两组,每组120例。观察组采取瑞士EMS三代碎石清石系统治疗,对照组采取钬激光碎石术治疗,比较两组患者疗效差异。结果经统计,观察组患者手术时间、术中出血量分别为(61.4±27.4)min、(159.4±43.5)mL,均少于对照组,均P<0.05。观察组痊愈89(74.2%),有效29例(24.2%),总有效率118例(98.3%),明显高于对照组105例(87.5%),P<0.05。观察组术后出现腹胀、恶心、呕吐7例,发热11例,感染9例,并发症27例(22.5%)与对照组并发症30例(25.0%)比较无明显差异,P>0.05。结论瑞士EMS三代碎石清石系统治疗肾结石疗效较佳,手术时间短,成功率高,具有重要临床价值。
目的:觀察採取瑞士EMS三代碎石清石繫統治療腎結石療效,併分析其安全性。方法選擇本院于2013年1月至2014年1月收治的腎結石患者240例為研究對象(結閤臨床錶現及相關影像學的錶現,符閤腎結石診斷標準),按照數字隨機法分為兩組,每組120例。觀察組採取瑞士EMS三代碎石清石繫統治療,對照組採取鈥激光碎石術治療,比較兩組患者療效差異。結果經統計,觀察組患者手術時間、術中齣血量分彆為(61.4±27.4)min、(159.4±43.5)mL,均少于對照組,均P<0.05。觀察組痊愈89(74.2%),有效29例(24.2%),總有效率118例(98.3%),明顯高于對照組105例(87.5%),P<0.05。觀察組術後齣現腹脹、噁心、嘔吐7例,髮熱11例,感染9例,併髮癥27例(22.5%)與對照組併髮癥30例(25.0%)比較無明顯差異,P>0.05。結論瑞士EMS三代碎石清石繫統治療腎結石療效較佳,手術時間短,成功率高,具有重要臨床價值。
목적:관찰채취서사EMS삼대쇄석청석계통치료신결석료효,병분석기안전성。방법선택본원우2013년1월지2014년1월수치적신결석환자240례위연구대상(결합림상표현급상관영상학적표현,부합신결석진단표준),안조수자수궤법분위량조,매조120례。관찰조채취서사EMS삼대쇄석청석계통치료,대조조채취화격광쇄석술치료,비교량조환자료효차이。결과경통계,관찰조환자수술시간、술중출혈량분별위(61.4±27.4)min、(159.4±43.5)mL,균소우대조조,균P<0.05。관찰조전유89(74.2%),유효29례(24.2%),총유효솔118례(98.3%),명현고우대조조105례(87.5%),P<0.05。관찰조술후출현복창、악심、구토7례,발열11례,감염9례,병발증27례(22.5%)여대조조병발증30례(25.0%)비교무명현차이,P>0.05。결론서사EMS삼대쇄석청석계통치료신결석료효교가,수술시간단,성공솔고,구유중요림상개치。
Objective To observe the EMS to Switzerland three generations of rubble stone system treatment for kidney stones, and analyzes its security. Methods In our hospital from January 2013 to January 2014 240 cases of patients with kidney stones as the research object, combined with clinical manifestations and imaging ifndings are consistent with the criteria for the diagnosis of kidney stones, according to the digital random method is divided into two groups, 120 cases in each group, observation group to Switzerland EMS three generations of rubble stone treatment system, the control group treated with holmium laser lithotripsy, comparing two groups of patients with curative effects. Result By the statistics, observed the operative time, intraoperative blood loss, respectively (61.4±27.4) min, (159.4±43.5)mL, were less than the control group (P<0.05);observation group recovered 89 (74.2%), 29 cases (24.2%), total effective rate of 118 cases (98.3%), signiifcantly higher than the control group, 105 cases (87.5%), (P<0.05);7 cases of observed group of postoperative abdominal distention nausea and vomiting, fever in 11 cases, 9 cases of infection and complications, 27 cases (22.5%) compared with the control group 30 cases (25.0%) complications has no obvious difference (P>0.05). Conclusion Swiss EMS three generations of rubble stone system kidney stones better curative effect, short operation time, high success rate, has the important clinical value.