上尿路结石规范化治疗的临床研究

顾燕; 贺伟; 王国增; 章璟; 杨佳伟; 叶祯; 叶敏

上尿路结石规范化治疗的临床研究

- 1. 上海市浦东新区公利医院泌尿外科(上海, 200135);
- 2. 上海市交通大学附属新华医院泌尿外科
基金项目:
上海市浦东新区科技发展基金（编号PKJ2007-Y25）

详细信息

通讯作者: 贺伟,E-mail:gonglimiwai@yahoo.com.cn

中图分类号: R693

收稿日期: 2012-07-06

A clinical study of the standardized treatment of upper urinary tract stones

- 1. Department of Urology, Gongli Hospital, Shanghai Pudong area, Shanghai, 200135, China;
- 2. Department of Urology, Xinhua Hospital, Jiao-tong University

More Information

Corresponding author: HE Wei, E-mail: gonglimiwai@yahoo.com.cn

Received Date: 06 July 2012

摘要

摘要: 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% vs 83.6%）；在肾、输尿管上段结石，且直径 ≤ 20 mm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。
- 上尿路结石 /
- 规范化治疗 /
- 性价比
Abstract: Objective: To study the feasibility of the standardized treatment of upper urinary tract stone in clinical applications.Method: One thousand and seventy-one patients with upper urinary tract stone were received standardized treatment(experimental group),and 774 cases with conventional treatment(control group).To compared the success rate of lithotripsy,the stone-free rate,complications,hospital costs,hospital stay with the experimental group and control group.Result: The overall success rate of lithotripsy in experimental group was higher than in control group(kidney,Upper ureteral calculi 87.2% vs 75.5%,Middle and lower ureteral stones:98.6% vs 84.8%);and the stone-free rate of the experimental group was higher than in control group(kidney,Upper ureteral calculi:82.0% vs 63.1%,Middle and lower ureteral stones:94.8% vs 83.6%).When the stones were in the kidney or Upper ureteral calculi with diameter ≤ 20 mm,the complications rate of experimental group were significantly reduced than the control group(3.6%vs7.7%,P=0.005).Of middle and lower ureteral stones,the complications rate of experimental group and the control group had no significant difference(P>0.05).The satisfaction of patients in the experimental group was higher than the control group(P<0.05).Conclusion: The standardized treatment of upper urinary tract stones is more safety,effective,and economic than the conventional treatment.
- upper urinary tract stone /
- standardized treatment /
- cost-benefit ratio

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