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目的:研究分析慢速与快速ESWL治疗尿路结石的效果和安全性,以供临床医生参考。方法:以2009年8月～2012年4月我院收治的90例上尿路结石患者为研究对象。使用随机数字表将其分为两组,慢速组45例,体外冲击波治疗震波为60/min;快速组45例,体外冲击波治疗震波为120/min,观察对比两组患者的治疗效果和并发症发生率。结果:经统计学分析,两组结石在15mm以下的患者治疗效果无明显差异,p>0.05,差异无统计学意义;快速组中结石直径在15mm以上患者的治疗效果明显优于慢速组,p<0.05;差异无统计学意义。两组并发症无显著差异,p>0.05。结论:对结石在15mm以下的患者选择慢速震波体外冲击波碎石,可以有效治疗尿路结石,而对结石体积较大者,则需采用快速震波。
Objective: To study the effect and safety of slow and fast ESWL in the treatment of urinary tract stones for reference by clinicians. Methods: From August 2009 to April 2012, 90 cases of upper urinary tract stones treated in our hospital were studied. Using random number table, they were divided into two groups: 45 cases in the slow group and 60 / min in the shock wave treatment group; 45 cases in the fast group and 120 / min in the shock wave treatment group. The curative effect and the complications of the two groups were compared The incidence of disease. Results: There was no significant difference in the treatment effect between the two groups of patients with stone below 15mm (p> 0.05), and the difference was not statistically significant in fasting group. The treatment effect of fasting group with stone diameter above 15mm was superior to that of slow group, p <0.05; the difference was not statistically significant. No significant difference between the two groups of complications, p> 0.05. Conclusion: The choice of slow shock extracorporeal shock wave lithotripsy for patients with stones less than 15 mm can effectively treat urolithiasis, whereas for those with larger stones, rapid shock waves are required.