50例输尿管镜下气压弹道碎石术临床的研究.docVIP

50例输尿管镜下气压弹道碎石术临床的研究 　　[摘要] 目的 探究输尿管镜下气压弹道碎石术的临床治疗效果，为临床治疗输尿管结石提供可靠依据。 方法 随机选取该院2013年9月―2015年4月住院部50例输尿管结石患者进行研究，所有患者采取均采取输尿管镜下气压弹道碎石术治疗（研究组），并选取同期50例采取体外冲击波碎石术治疗的患者进行对比（对照组），分析两组患者治疗总有效率、一次性碎石成功率、并发症情况及患者满意度。 结果 两组患者治疗后总有效率对比，研究组为98.00%，对照组为86.00%，差异有统计学意义（P0.05）；研究组一次性碎石成功率明显高于对照组，差异有统计学意义（P0.05）；两组患者术后恢复良好，研究组出现1例轻微腹胀，两组均无明显并发症出现。调查显示研究组患者总满意率明显高于对照组，差异有统计学意义（P0.01）。 结论 输尿管镜下气压弹道碎石术治疗输尿管结石明显优于体外冲击波碎石术，其治疗总有效率高，可明显提升一次性碎石成功率，且并发症少，安全可行，患者满意度高，可进行临床推广及应用。 　　[关键词] 输尿管镜下气压弹道碎石术；体外冲击波碎石术；一次性碎石成功率；总有效率 　　[中图分类号] R693.405 [文献标识码] A [文章编号] 1674-0742（2015）09（a）-0036-02 　　Clinical Research on Pneumatic Ballistic Lithotripsy via Nephroscope in 50 Cases 　　JIANG Ke 　　Department of Urinary Surgery， Liyang Peoples Hospital， Liyang， Jiangsu Province， 213300 China 　　[Abstract] Objective To explore the clinical curative effect of pneumatic ballistic lithotripsy via nephroscope and provide a reliable basis for clinical treatment of ureteral calculi. Methods 50 inpatients with ureteral calculi in our hospital between September 2013 and April 2014 as the study group and other 50 patients in the same period as control group were enrolled and were treated with either pneumatic ballistic lithotripsy via nephroscope or extracorporeal shock-wave lithotripsy. The overall effective rates， one-time success rates of lithotripsy， complications， patients satisfaction were compared between the two methods. Results The overall effective rate（98.00% vs 86.00%） and one-time success rate of lithotripsy with higher in the study group than in the control group， and there were statistically significant differences between the two groups（P0.05）. Good recovery was obtained in both the two groups with 1 case of mild abdominal pain and none complication. Research showed that the total satisfaction rate was higher in the study group than in the control group with statistically significant difference（P0.01）. Conclusion Pneumatic ballistic lithotripsy via nephroscope， which shows higher overall effect