摘要
目的总结体外冲击波碎石术(ESWL)中创造性应用呼吸门控技术的临床经验.方法424例病人依标准选择后,行ESWL治疗,按所采用的呼吸方法分为3组,即自主呼吸组(A组)、一般呼吸组(B组)和自控呼吸组(C组),随访3～6个月,观察各组ESWL后疗效差异,评价治疗效果.结果各病之间疗效有显著性差异(P＜0.01),C组最高(96.40%),而A组(83.87%)与B组(86.67%)有效率接近,故差异主要来自于C组同A、B两组之间.所有病例均未见严重并发症发生.结论住呼吸门控技术中应用自控呼吸法触发冲击波治疗尿路结石有高的有效率,无明显并发症,是一种值得倡导的方法.
Objective To review our experience with the application of respiratory ga ting technique in extracorporeal shock wave lithotripsy (ESWL). Methods Accordi ng to the established criteria 424 patients with urinary calculi were included i n this study to received ESWL. These patients were divided into three groups, i n which different breathing techniques were used for ESWL: group A with free br eathing, group B with basically normal breathing except for the breath-holding u pon each shockwave triggering, and group C with controlled breathing acquired f rom preoperative training. All the patients were followed up from 3 to 6 months , during the period of which the effect of ESWL was observed and recorded for co mparative appraisal of the therapeutic efficacy. Results The therapeutic effect significantly differed between the groups (P<0.01), with the best effect recor ded in group C (96.40%), followed by group A (83.87%) immediately before group B (86.67%), indicating that the essential difference occurred between group C an d groups A and B, but not between the latter two groups. None of the patients d eveloped serious short-term complications. Conclusion The application of breathi ng technique in respiratory gating for ESWL is safe and effective without causi ng serious complications.
出处
《第一军医大学学报》
CSCD
北大核心
2003年第5期504-506,共3页
Journal of First Military Medical University
关键词
呼吸门控
尿路结石
治疗
碎石术
冲击波
breathing technique therapy
urinary calculi/ therapy
lithotripsy, shock wave
