国际泌尿系统杂志
國際泌尿繫統雜誌
국제비뇨계통잡지
INTERNATIONAL JOURNAL OF UROLOGY AND NEPHROLOGY
2013年
2期
213-216
,共4页
输尿管结石%碎石术,激光%激光,固体
輸尿管結石%碎石術,激光%激光,固體
수뇨관결석%쇄석술,격광%격광,고체
Ureteral Calculi%Lithotripsy,Laser%Lasers,Solid-State
目的 观察输尿管镜下钬激光碎石术治疗输尿管阴性结石的临床效果.方法 选取本院自2009年3月～2012年1月收治的98例输尿管阴性结石患者按照随机数字表法随机分为观察组与对照组各49例,观察组采用输尿管镜下钬激光碎石术治疗,对照组给予中药排石冲击联合枸橼酸氢钾钠(友来特)治疗,比较两组患者的排石效果.结果 (1)观察组平均手术时间为(41.2±8.4)min,术后平均住院时间为(3.6±1.2)d,术后平均(15.1±3.4)d拔除双J管,结石排净率为97.9％(46/47),对照组结石排净率为80.9％(38/47).观察组结石排净率明显高于对照组(x2=15.025,P＜0.01),具有统计学意义.(2)两组患者并发症及不良反应情况比较无明显差异(x2=1.136,P＞0.05),无统计学意义.(3)6～18个月的随访观察,观察组复发2例,复发率为4.1％.对照组复发7例,复发率为14.3％.观察组复发率明显低于对照组(x2=-13.754,P＜0.01),具有统计学意义.结论 用输尿管镜下钬激光碎石术治疗输尿管阴性结石效果较佳,且具有安全性高、易恢复、复发率低等优点,值得推广应用.
目的 觀察輸尿管鏡下鈥激光碎石術治療輸尿管陰性結石的臨床效果.方法 選取本院自2009年3月～2012年1月收治的98例輸尿管陰性結石患者按照隨機數字錶法隨機分為觀察組與對照組各49例,觀察組採用輸尿管鏡下鈥激光碎石術治療,對照組給予中藥排石遲擊聯閤枸櫞痠氫鉀鈉(友來特)治療,比較兩組患者的排石效果.結果 (1)觀察組平均手術時間為(41.2±8.4)min,術後平均住院時間為(3.6±1.2)d,術後平均(15.1±3.4)d拔除雙J管,結石排淨率為97.9％(46/47),對照組結石排淨率為80.9％(38/47).觀察組結石排淨率明顯高于對照組(x2=15.025,P＜0.01),具有統計學意義.(2)兩組患者併髮癥及不良反應情況比較無明顯差異(x2=1.136,P＞0.05),無統計學意義.(3)6～18箇月的隨訪觀察,觀察組複髮2例,複髮率為4.1％.對照組複髮7例,複髮率為14.3％.觀察組複髮率明顯低于對照組(x2=-13.754,P＜0.01),具有統計學意義.結論 用輸尿管鏡下鈥激光碎石術治療輸尿管陰性結石效果較佳,且具有安全性高、易恢複、複髮率低等優點,值得推廣應用.
목적 관찰수뇨관경하화격광쇄석술치료수뇨관음성결석적림상효과.방법 선취본원자2009년3월～2012년1월수치적98례수뇨관음성결석환자안조수궤수자표법수궤분위관찰조여대조조각49례,관찰조채용수뇨관경하화격광쇄석술치료,대조조급여중약배석충격연합구연산경갑납(우래특)치료,비교량조환자적배석효과.결과 (1)관찰조평균수술시간위(41.2±8.4)min,술후평균주원시간위(3.6±1.2)d,술후평균(15.1±3.4)d발제쌍J관,결석배정솔위97.9％(46/47),대조조결석배정솔위80.9％(38/47).관찰조결석배정솔명현고우대조조(x2=15.025,P＜0.01),구유통계학의의.(2)량조환자병발증급불량반응정황비교무명현차이(x2=1.136,P＞0.05),무통계학의의.(3)6～18개월적수방관찰,관찰조복발2례,복발솔위4.1％.대조조복발7례,복발솔위14.3％.관찰조복발솔명현저우대조조(x2=-13.754,P＜0.01),구유통계학의의.결론 용수뇨관경하화격광쇄석술치료수뇨관음성결석효과교가,차구유안전성고、역회복、복발솔저등우점,치득추엄응용.
Objectives To observe the clinical effect of ureteroscopic holmium laser lithotripsy treating ureteral negative calculi.Methods According to random number table,98 patients with ureteral negative calculi treated in our hospital from March 2009 to January 2011 were divided into 2 groups randomly,the observation group and the control group,each group for 49 cases.The observation group were given the treatment of ureteroscopic holmium laser lithotripsy,and the control group were treated with traditional Chinese medicine row stone impact co-mbined with potassium sodium hydrogen citrate or Uralyt-U.Removing effect of 2 groups were compared.Results (1) As for the observation group,the average operation time was(41.2 ± 8.4) min,the average length of stay after operation was(3.6 ± 1.2) d,Double J tube was removed for average (15.1 ± 3.4) d after operation,and the stone free rate was 97.9％ (46/47).The stone free rate of the control group was stone free rate.The stone free rate of the observation group was higher evidently than that of the control group (x2 =15.025,P ＜ 0.01),which had statistical significance.(2) There was no evident difference between 2 groups as for the complications and adverse reactions(x2 =1.136,P ＞0.05),which had no statistical significance.(3) The patients were followed up for 6-18 months.And there were 2 patients with recurrence and the recurrence rate was 4.1％ in the observation group.As for the control group,there were 7 patients with recurrence and the recurrence rate was 14.3％.The recurrence rate of the observation group was lower evidently than that of the control group(x2 =-13.754,P ＜0.01),which had statistical significance.Conclusions Ureteroscopic holmium laser lithotripsy treating ureteral negative calculi not only has better effect,but also has the advantages of high safety,recoverability and low recurrence rate,which is worthy of application in clinical practice.
