体外冲击波碎石和外科手术方法治疗泌尿系结石疗效比较.docVIP

体外冲击波碎石和外科手术方法治疗泌尿系结石疗效比较 　　摘要：目的 讨论使用体外冲击波碎石与外科手术方法对泌尿系结石的治疗效果。方法 以我院在2015年1月～2016年3月收治的90例泌尿系结石患者为研究对象，随机将其分为观察组和对照组，每组各45例，对照组使用常规的手术方式进行治疗，观察组使用体外冲击波碎石的方式进行治疗。比较两组的治疗效果。结果 观察组的治疗总有效率为97.00%，对照组的治疗显效为96.00%，观察组优于对照组，不过两组之间差异不明显，P0.05，没有统计学意义；观察组患者出现并发症的概率明显小于对照组，P0.05，有统计学意义。结论 对于直径较小、无严重伴发症状（如梗阻、感染等）的泌尿系统结石患者采用体外冲击波碎石治疗泌尿系结石有效性、安全性均较优，有利于保障患者生活质量、身心健康。 　　关键词：体外冲击波碎石；外科手术；泌尿系结石 　　中图分类号：R699 文献标识码：A 文章编号：1006-1959（2017）25-0061-02 　　Abstract：Objective To discuss the use of extracorporeal shock wave lithotripsy and surgical methods for urinary calculi treatment.Methods In our hospital in 90 cases of urinary calculi in January 2015～2016 year in March as the research object，randomly divided into observation group and control group，45 cases in each group，the control group used the conventional way of operation the treatment，the observation group using extracorporeal shock wave lithotripsy for the treatment of the way.The results of two groups were compared.Results The total effective rate was 97.00% in the observation group and 96.00% in the control group.The observation group was superior to the control group，but the difference was not significant between the two groups，P0.05，and there was no statistical significance.The observation group the probability of complications in patients with significantly less than the control group，P0.05，there was statistical significance.Conclusion For small diameter，no serious comorbid symptoms（such as obstruction，infection etc.）urinary calculi treated by extracorporeal shock wave treatment effectiveness of urinary calculi lithotripsy，safety is superior，is conducive to the protection of patients the quality of life，physical and mental health. 　　Key words：Extracorporeal shock wave lithotripsy；Surgical procedures；Urinary calculi 　　泌尿系统结石是一种常见的泌尿系统疾病，其发病的部位可以是泌尿系统的任何一个部位，结石位置的不同，其临床症状也会有不同的差异，通常情况下的症状主要有肾绞痛和血尿。对于泌尿结石的保守治疗是通过排石药，不过对于药物的选择需要根据结石的pH值来决定[1]。但是据临床实践证明，利用药物进行排石，临床效果并不明显，并且存在一定的复发率，所以对于这种疾病的治疗，目前临床上多采用外科手术治疗，在通过治疗之后，临床效果明