实用医学影像杂志2024,Vol.25Issue(3) :224-227.DOI:10.16106/j.cnki.cn14-1281/r.2024.03.016

超声定位监测输尿管结石经体外冲击波碎石的效果分析

Effect of ultrasound-guided monitoring of ureteral stones through extracorporeal shock wave lithotripsy

吴斌 王敏 孙王洪
实用医学影像杂志2024,Vol.25Issue(3) :224-227.DOI:10.16106/j.cnki.cn14-1281/r.2024.03.016

超声定位监测输尿管结石经体外冲击波碎石的效果分析

Effect of ultrasound-guided monitoring of ureteral stones through extracorporeal shock wave lithotripsy

吴斌 1王敏 2孙王洪3
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作者信息

  • 1. 336100 江西省万载县人民医院超声科(碎石室)
  • 2. 江西省万载县诚济医院超声科
  • 3. 336100 江西省万载县人民医院泌尿外科
  • 折叠

摘要

目的 分析输尿管结石患者接受经体外冲击波碎石治疗中,采取超声定位监测的价值.方法 选择2021年6月至2023年6月收治的172例输尿管结石患者为研究对象,随机分2组.对照组(86例)实施气压弹道碎石治疗,观察组(86例)在超声定位下实施碎石治疗.比较2组临床疗效、并发症发生率、临床指标、排尿功能.结果 观察组临床疗效高于对照组,并发症发生率、定位时间、疼痛程度低于对照组(P<0.05);2组排尿功能比较,观察组国际前列腺症状评分(IPSS)低于对照组,最大尿流率(Qmas)高于对照组(P<0.05).结论 输尿管结石患者接受经体外冲击波碎石治疗中,采取超声定位监测可提高定位成功率,减轻机体疼痛程度,避免碎石中出现血尿等并发症,值得借鉴与学习.

Abstract

Objective To analyze the value of ultrasound localization monitoring in patients with ureteral stones undergoing extracorporeal shock wave lithotripsy treatment.Methods One hundred and seventy-two patients with ureteral stones admitted to the hospital from June 2021 to June 2023 were selected as the study subjects and randomly divided into two groups.The control group(86 cases)received pneumatic ballistic lithotripsy treatment,while the observation group(86 cases)received lithotripsy treatment under ultrasound localization.The clinical efficacy,incidence of complications,clinical indicators,and urinary function between the two groups were compared.Results The clinical efficacy of the observation group was higher than that of the control group,and the incidence of complications,localization time,and degree of pain were lower than those of the control group(P<0.05).Comparison of urinary function between two groups showed that the IPSS score of the observation group was lower than that of the control group,and the Qmas was higher than that of the control group(P<0.05).Conclusion In treating ureteral stones with extracorporeal shock wave lithotripsy,adopting ultrasound localization monitoring can improve the success rate of localization,reduce the degree of body pain,and avoid complications such as hematuria during lithotripsy.It is worth learning.

关键词

输尿管结石/碎石术/疼痛/超声定位监测/定位成功率

Key words

Ureteral calculi/Lithotripsy/Pain/Ultrasound localization monitoring/Positioning success rate

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出版年

2024
实用医学影像杂志
中华医学会山西分会,山西省人民医院

实用医学影像杂志

影响因子:0.735
ISSN:1009-6817
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