摘要
目的 研究比较体外冲击波碎石治疗后不同手术时机对输尿管结石患者疗效、安全性及生活质量的影响.方法 选取2015年7月至2016年9月在山西省汾阳医院接受2次体外冲击波碎石治疗后进行手术取石的输尿管结石患者45例为观察组.另取同期进行≥3次体外冲击波碎石治疗后转手术取石患者45例为对照组.分别比较两组效果.结果 观察组总有效率为95.56％,显著高于对照组的71.11％,差异有统计学意义（χ2=9.680,P=0.002）.观察组梗阻（17.78％）、感染（26.67％）以及肾积水发生率（24.44％）均显著低于对照组的42.22％、64.44％及60.00％,差异有统计学意义（χ2=6.402、12.947、11.660,P=0.011,0.000,0.001）.观察组饮食（83.2±12.6）、精神（85.6±13.3）、睡眠（87.3±15.4）以及心理评分（85.9±13.6）均显著高于对照组的（75.1±11.4）、（76.2±11.6）、（77.4±13.2）及（73.2±10.7）分,差异有统计学意义（t=3.003、4.038、3.514、4.513,P=0.004、0.000、0.001、0.000）.观察组患者满意度（97.78％）显著高于对照组（77.78％）,差异有统计学意义（χ2=8.389,P=0.004）.结论 输尿管结石患者在接受体外冲击波碎石治疗2次及以上后,体内结石未得到有效清除,应尽早接受手术取石治疗,可提高疗效,降低并发症发生率,提高患者生活质量.
Objective To study the effect,safety and quality of life of different operation opportunity on the patients with ureteral calculi after extracorporeal shock wave lithotripsy.Methods From July 2015 to September 2016,45 patients with ureteral calculi who received lithotomy after 2 times of extracorporeal shock wave lithotripsy （ESWL） in our hospital were selected as observation group.Another 45 cases who received more than 3 times of ESWL and turend to lithotomy at the same period were selected as control group.The clinical effect was compared between the two groups.Results The total effective rate of the observation group was 95.56% （43/45）,which was significantly higher than 71.11% （32/45） of the control group,the difference was statistically significant （χ2=9.680;P=0.002）.The incidence rates of obstruction（17.78%）,infection （26.67%） and hydronephrosis （24.44%） in the observation group were significantly lower than those in the control group （42.22%,64.44% and 60.00%）,the differences were statistically significant （χ2=6.402,12.947,11.660;P=0.011,0.000,0.001）.The scores of diet [（83.2±12.6）points],spirit[（85.6±13.3）points],sleep[（87.3±15.4）points] and psychological score[（85.9±13.6）points] in the observation group were significantly higher than those of the control group [（75.1±11.4）points,（76.2±11.6）points,（77.4±13.2）points and （73.2±10.7）points],the differences were statistically significant （t=3.003,4.038,3.514,4.513;P=0.004,0.000,0.001,0.000）.The satisfaction rate of patients（97.78%） of the observation group was significantly higher than 77.78% of the control group,the difference was statistically significant （χ2=8.389;P=0.004）.Conclusion Patients with ureteral calculi who received more than 2 times of ESWLand the stones in the body has not been effectively removed,should be accepted as soon as possible stone surgery treatment,it can improve the clinical effect,reduce the incidence of complications,improve the quality of life of patients.
出处
《中国基层医药》
CAS
2017年第17期2607-2610,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
碎石术
输尿管结石
生活质量
Lithotripsy
Ureteral calculi
Quality of life
