体外冲击波碎石后联合物理震动排石治疗上尿路结石的体会

陶荣镇; 周爽; 贾春萍; 吕建林

doi:10.13201/j.issn.1001-1420.2019.04.014

体外冲击波碎石后联合物理震动排石治疗上尿路结石的体会

- 南京医科大学附属江宁医院泌尿外科(南京, 211100)

详细信息

通讯作者: 吕建林,E-mail:ljlxx01@163.com

中图分类号: R691.4

收稿日期: 2017-11-15

Experience of sequential external physical vibration lithecbole in patients with upper urinary calculi after extracorporeal shock wave lithotripsy

- Department of Urology, Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing, 211100

More Information

Corresponding author: LV Jianlin, E-mail: ljlxx01@163.com

Received Date: 15 November 2017

摘要

摘要: 目的:观察上尿路结石(1~2 cm)患者行体外冲击波碎石(ESWL)后联合物理振动排石(EPVL)治疗的效果。方法:回顾性分析2017年1~9月于我院泌尿外科碎石中心行ESWL治疗的300例上尿路结石患者的临床资料,根据碎石后是否行EPVL分为EPVL组(167例)和自然排石组(133例),比较两组患者首日排石率、结石清除率及排石相关并发症等指标。结果:EPVL组患者碎石后行EPVL,并联合合理有效的操作手法,平均排石次数(3.3±0.7)次,治疗首日排石率75.4%(126/167),1、2周结石清除率分别为80.2%(134/167)和88.6%(148/167)。EPVL组1、2周结石清除率均明显高于自然排石组(P＜0.05),且两组患者并发症发生率比较差异无统计学意义。结论:上尿路结石患者行ESWL后联合EPVL治疗,既能有效提高ESWL后碎石清除率,又缩短了患者自然排石的时间,痛苦较小。该方法简单、安全,疗效突出,可重复性高,易被患者接受,值得临床推广应用。
- 上尿路结石 /
- 体外冲击波碎石 /
- 物理振动排石 /
- 结石清除率
Abstract: Objective: To observe the efficacy of external physical vibration lithecbole(EPVL) in patients with upper urinary calculi(1-2 cm) after extracorporeal shock wave lithotripsy(ESWL). Method: From January 2017 to September 2017, 300 patients with upper urinary calculi who had received ESWL were analyzed retrospectively. The patients were divided into two groups based on the stone-expelling methods: 167 cases in EPVL group and 133 in natural stone-expelling group. The efficacy of stone-expelling and complications between two groups were compared. Result: In the EPVL group, the average times of lithagogue treatment was(3.3±0.7) times and 126 patients(75.4%) expelled stones on the day of lithecbole. The stone free rate(SFR) in the first week was 80.2%(134/167) and the SFR in the second week was 88.6%(148/167). The SFRs in first week and second week were significantly higher in EPVL group than those in natural stone-expelling group(P＜0.05). And there was no statistical significance in the complications between two groups.Conclusion: EPVL therapy after ESWL in patients with upper urinary calculi 1-2 cm can effectively fasten stone spelling and increase SFR. Therefore, this method is worth carrying out in clinical practice.
- upper urinary calculi /
- extracorporeal shock wave lithotripsy /
- external physical vibration lithecbole /
- stone free rate

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