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目的:探讨上尿路结石规范化治疗临床应用的可行性。方法:规范化治疗1 071例(实验组),774例常规治疗(对照组),将两组碎石成功率、结石排净率、并发症、住院费用、住院时间等行比较研究。结果:实验组的总体碎石成功率高于对照组(肾、输尿管上段结石87.2%vs 75.5%,输尿管中下段结石:98.6%vs 84.8%),结石排净率也明显高于对照组(分别为肾、输尿管上段结石组82.0%vs 63.1%,输尿管中下段结石:94.8%vs83.6%);在肾、输尿管上段结石,且直径≤20mm的患者,实验组的并发症率低于对照组(3.6%vs 7.7%,P=0.005),而输尿管中下段结石患者,两组的并发症率差异无统计学意义(P>0.05),实验组患者对治疗满意度高于对照组(P<0.05)。结论:上尿路结石规范化治疗比常规治疗安全、有效、而且经济。
Objective: To investigate the feasibility of clinical application of standardized treatment of upper urinary tract stones. Methods: A total of 1 071 cases (experimental group) and 774 cases of conventional therapy (control group) were treated with standardized therapy. The success rate of stones, the rate of stone removal, complications, hospitalization expenses and hospital stay were compared between the two groups. Results: The success rate of total gravel in experimental group was higher than that in control group (87.2% vs 75.5% in kidney and ureter, 98.6% vs 84.8% in lower ureteral calculi), and the stone removal rate was also significantly higher than that in control group For the kidney, upper ureteral calculi 82.0% vs 63.1%, lower ureteral stones: 94.8% vs83.6%); in the renal, upper ureteral calculi, and diameter ≤ 20mm, the complication rate of the experimental group was lower than the control group (3.6% vs 7.7%, P = 0.005). However, there was no significant difference in the complication rates between the two groups (P> 0.05). The patients in the experimental group were more satisfied with the treatment than those in the control group (P < 0.05). Conclusion: The standardized treatment of upper urinary tract stones is safer, more effective and more economical than conventional treatment.