急诊体外冲击波碎石术与择期ESWL治疗输尿管结石的疗效对比

摘要

目的：比较急诊体外冲击波碎石术(发生肾绞痛在24 h以内行ESWL)与择期ESWL(发生肾绞痛后5~14 d内行ESWL)治疗输尿管结石的疗效。方法：跟踪观察140例输尿管结石患者，并根据实际情况将这140例患者分为两组，治疗组为急诊ESWL组，对照组为择期ESWL组。结果：治疗组碎石成功率及术后两周结石排净率均高于对照组(P<0.05)，治疗组再发疼痛率低于对照组(P<0.05)。结论：急诊体外冲击波碎石术与择期ESW均是较为安全、有效的治疗输尿管结石的方法。通过本文研究表明，前者的疗效优于后者。%Objective:To compare the curative effects of emergency extracorporeal shock wave lithotripsy(ESWL was underwent when renal colic has occurred within 24 h) and selective ESWL(ESWL was underwent when renal colic has occurred after 5-14 d) in the treatment of ureteral calculi. Method:A total of 140 patients with ureteral calculi were followed and observed,and all patients were divided into two groups according to the actual situation,and the treatment group was the emergency ESWL group,and the control group was the selective ESWL group.Result:The successful rate of lithotripsy and the lithagogue rate in the treatment group were higher than that in the control group(P<0.05),and the postoperative back pain rate in the the treatment group were higher than that in the control group(P<0.05).Conclusion:Emergency extracorporeal shock wave lithotripsy and selective ESW method in the treatment of ureteral calculi are safe and effective,but the study shows that curative effect of the former one is better than that of the latter one.