检验医学与临床
檢驗醫學與臨床
검험의학여림상
JOURNAL OF LABORATORY MEDICINE AND CLINICAL SCIENCES
2015年
2期
172-173,176
,共3页
结石%超声检查%实时定位监测%体外冲击波碎石
結石%超聲檢查%實時定位鑑測%體外遲擊波碎石
결석%초성검사%실시정위감측%체외충격파쇄석
ultrasound%real-time%monitoring%lithotripsy
目的：比较经超声实时定位监测与超声定位非实时监测在电磁式尿路结石碎石术的临床疗效。方法回顾性分析2005年10月至2012年10月诊断明确并行尿路结石碎石术的1242例资料。根据碎石定位方式不同分为两组：经超声实时定位监测碎石组621例，非实时监测碎石组621例。比较两组疗效、碎石时间、排石情况、术后血尿时间、术后使用抗生素时间、术后住院时间、术后并发症等指标的差别。结果两组病例术中及术后近期均未发生严重并发症，远期并发症有待观察。超声实时定位监测碎石组碎石成功率为99．52％（618／621），非实时监测碎石组成功率为97．42％（605／621），两组间比较差异无统计学意义（ P＞0．05）；经超声实时定位监测碎石组碎石时间、排石情况、术后血尿时间、术后使用抗生素时间、术后住院时间、术后并发症少于非实时监测碎石组，两组比较差异有统计学意义（均 P＜0．01）。结论超声定位实时监测体外冲击波碎石治疗尿路结石可减少盲目冲击对邻近组织的损伤，安全有效，无严重并发症，缩短碎石时间、术后血尿时间、术后使用抗生素时间、术后住院时间，提高排石效果，可提高治疗安全性、有效性、及时性、廉价性，值得推广。
目的：比較經超聲實時定位鑑測與超聲定位非實時鑑測在電磁式尿路結石碎石術的臨床療效。方法迴顧性分析2005年10月至2012年10月診斷明確併行尿路結石碎石術的1242例資料。根據碎石定位方式不同分為兩組：經超聲實時定位鑑測碎石組621例，非實時鑑測碎石組621例。比較兩組療效、碎石時間、排石情況、術後血尿時間、術後使用抗生素時間、術後住院時間、術後併髮癥等指標的差彆。結果兩組病例術中及術後近期均未髮生嚴重併髮癥，遠期併髮癥有待觀察。超聲實時定位鑑測碎石組碎石成功率為99．52％（618／621），非實時鑑測碎石組成功率為97．42％（605／621），兩組間比較差異無統計學意義（ P＞0．05）；經超聲實時定位鑑測碎石組碎石時間、排石情況、術後血尿時間、術後使用抗生素時間、術後住院時間、術後併髮癥少于非實時鑑測碎石組，兩組比較差異有統計學意義（均 P＜0．01）。結論超聲定位實時鑑測體外遲擊波碎石治療尿路結石可減少盲目遲擊對鄰近組織的損傷，安全有效，無嚴重併髮癥，縮短碎石時間、術後血尿時間、術後使用抗生素時間、術後住院時間，提高排石效果，可提高治療安全性、有效性、及時性、廉價性，值得推廣。
목적：비교경초성실시정위감측여초성정위비실시감측재전자식뇨로결석쇄석술적림상료효。방법회고성분석2005년10월지2012년10월진단명학병행뇨로결석쇄석술적1242례자료。근거쇄석정위방식불동분위량조：경초성실시정위감측쇄석조621례，비실시감측쇄석조621례。비교량조료효、쇄석시간、배석정황、술후혈뇨시간、술후사용항생소시간、술후주원시간、술후병발증등지표적차별。결과량조병례술중급술후근기균미발생엄중병발증，원기병발증유대관찰。초성실시정위감측쇄석조쇄석성공솔위99．52％（618／621），비실시감측쇄석조성공솔위97．42％（605／621），량조간비교차이무통계학의의（ P＞0．05）；경초성실시정위감측쇄석조쇄석시간、배석정황、술후혈뇨시간、술후사용항생소시간、술후주원시간、술후병발증소우비실시감측쇄석조，량조비교차이유통계학의의（균 P＜0．01）。결론초성정위실시감측체외충격파쇄석치료뇨로결석가감소맹목충격대린근조직적손상，안전유효，무엄중병발증，축단쇄석시간、술후혈뇨시간、술후사용항생소시간、술후주원시간，제고배석효과，가제고치료안전성、유효성、급시성、렴개성，치득추엄。
Objective To compare the clinical effects between ultrasound real‐time located monitoring and ul‐trasound located non‐real‐time monitoring in electromagnetic urinary calculi lithotripsy .Methods The data in 1 242 cases of urinary tract stones treated by lithotripsy in our hospital from October 2005 to October 2012 were retrospec‐tively analyzed .All cases were divided into two groups according to the located mode ,621 cases in the ultrasound real‐time located monitoring lithotripsy group and 621 cases in the non‐real‐time monitoring lithotripsy group .The inde‐xes of curative effects ,lithotripsy time ,stone removing time ,postoperative hematuria time ,postoperative antibiotics use time ,hospital stay duration and complications were compared between the two groups .Results No serious com‐plications occurred during operation and short time after operation in both groups ,long‐term complications remained to be observed .The operation success rate in the ultrasound real‐time located monitoring lithotripsy group and the non‐real‐time monitoring lithotripsy group were 99 .52% (618/621) and 97 .42% (605/621) respectively ,showing no statistical difference between two groups (P>0 .05) .The lithotripsy time ,stone removing time ,postoperative hema‐turia time ,postoperative antibiotics use time ,postoperative hospital stay duration and complications in the ultrasound real‐time located monitoring lithotripsy group were all less than those in the non‐real‐time monitoring lithotripsy group with statistically significant differences (P<0 .01) .Conclusion The ultrasound located real‐time monitoring extracorporeal shock wave lithotripsy can reduce the injuries of blind impact to adjacent tissues ,is safe and effective , has no serious complications ,shorten the lithotripsy time ,postoperative hematuria time ,antibiotics use time and post‐operative hospital stay time ,improve the effect for removing stones ,increase the safety ,effectiveness ,timeliness and cheapness of treatment ,so which is worthy of promotion .
