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目的比较改良式体外碎石法与常规碎石法治疗输尿管结石的临床效果。方法回顾性分析136例输尿管结石患者临床资料。根据术式不同分为观察组与对照组各68例。观察组接受改良式体外碎石法,对照组接受常规碎石法。观察2组结石1次粉碎率、术后1周结石排尽率、住院时间、再发疼痛率、不良反应情况。结果观察组结石1次粉碎率、术后1周结石排尽率、住院时间及再发疼痛率情况均优于对照组(P<0.05或P<0.01)。观察组发生不良反应发生率为2.9%,低于对照组的13.2%(P<0.05)。结论改良式体外碎石法较常规碎石法可进一步提升疗效、改善患者预后,值得临床推广应用。
Objective To compare the clinical effects of modified extracorporeal lithotripsy and conventional lithotripsy in the treatment of ureteral calculi. Methods Retrospective analysis of 136 cases of ureteral calculi in patients with clinical data. According to different surgical procedures were divided into observation group and control group of 68 cases. The observation group received modified in vitro gravel method while the control group received routine gravel method. The rates of primary crushing stones, exhaustion rate of stones in one week after operation, length of hospital stay, recurrence pain rate and adverse reactions were observed. Results The first crushing rate of stones in observation group, the rate of stone exhaustion, the length of hospital stay and the recurrence pain rate in one week after operation were all better than those in control group (P <0.05 or P <0.01). The incidence of adverse reactions in the observation group was 2.9%, which was lower than 13.2% in the control group (P <0.05). Conclusion The modified extracorporeal gravel method can further enhance the curative effect and improve the prognosis of patients, which is worthy of clinical application.