宽焦斑高能量与传统窄焦斑低能量体外冲击波碎石治疗肾结石的效果及安全性比较(1)
[摘要]目的 探讨宽焦斑高能量与传统窄焦斑低能量体外冲击波碎石(ESWL)治疗肾结石的效果及安全性。方法 按随机数字表法将2017年2月～2019年3月就诊于我院拟行ESWL治疗的110例肾结石患者分为两组，每组各55例。对照组行传统窄焦斑低能量ESWL治疗，研究组行寬焦斑高能量ESWL治疗。比较两组不同大小结石手术的相关指标、术后尿生物学标志物水平、并发症发生情况。结果 两组的透视时间、碎石时间、冲击波次数、住院时间、结石排净率、结石粉碎率比较，差异无统计学意义(P>0.05);研究组结石最大直径>10 mm的复震率为11.11%，低于对照组的40.00%，差异有统计学意义(P<0.05);两组结石最大直径≤10 mm的复震率比较，差异无统计学意义(P>0.05)。两组术后尿生物学标志物水平比较，差异无统计学意义(P>0.05)。结石最大直径≤10 mm者，两组术后并发症总发生率比较，差异无统计学意义(P>0.05);结石最大直径>10 mm者，研究组并发症总发生率为29.63%，高于对照组的4.00%，差异有统计学意义(P<0.05)。结论 传统窄焦斑低能量与宽焦斑高能量ESWL均是治疗肾结石的有效术式，对于>10 mm结石，宽焦斑高能量复震率相对较低，但会增加术后并发症的发生。
[关键词]肾结石;宽焦斑;体外冲击波碎石
[中图分类号] R619.4 [文献标识码] A [文章编号] 1674-4721(2019)12(b)-0090-04
[Abstract] Objective To investigate the efficacy and safety of wide focal spot high energy and traditional narrow focal spot low energy extracorporeal shock wave lithotripsy (ESWL) in the treatment of renal calculi. Methods According to the random number table method， 110 cases of renal calculi treated by ESWL from February 2017 to March 2019 were divided into two groups， 55 cases in each group. The control group received traditional narrow focal spot low energy ESWL treatment， while the study group received wide focal spot high energy ESWL treatment. Relevant indicators， urinary biomarkers and complications were compared between the two groups. Results There were no significant differences in fluoroscopy time， lithotripsy time， shock wave frequency， hospitalization time， stone clearance rate and stone crushing rate between the two groups (P>0.05). The maximum diameter of stones>10 mm in the study group was 11.11%， which was lower than 40.00% in the control group， the difference was statistically significant (P<0.05).There was no statistical difference in the maximum diameter of stones <10 mm in the two groups (P>0.05). There was no significant difference in the level of urinary biomarkers between the two groups (P>0.05). There was no significant difference in the total incidence of complications between the two groups when the maximum diameter of stones was ≤10 mm (P>0.05). The total incidence of complications in the study group was 29.63% when the maximum diameter of stones >10 mm， which was higher than 4.00% in the control group， the difference was statistically significant (P<0.05). Conclusion The traditional ESWL with narrow focus and low energy and wide focus and high energy is an effective method for the treatment of renal calculi. The high energy reverberation rate of wide focus and high energy is relatively low for stones >10 mm， but it will increase the incidence of postoperative complications., 百拇医药(陈文成 潘翔 刘永昌)
[关键词]肾结石;宽焦斑;体外冲击波碎石
[中图分类号] R619.4 [文献标识码] A [文章编号] 1674-4721(2019)12(b)-0090-04
[Abstract] Objective To investigate the efficacy and safety of wide focal spot high energy and traditional narrow focal spot low energy extracorporeal shock wave lithotripsy (ESWL) in the treatment of renal calculi. Methods According to the random number table method， 110 cases of renal calculi treated by ESWL from February 2017 to March 2019 were divided into two groups， 55 cases in each group. The control group received traditional narrow focal spot low energy ESWL treatment， while the study group received wide focal spot high energy ESWL treatment. Relevant indicators， urinary biomarkers and complications were compared between the two groups. Results There were no significant differences in fluoroscopy time， lithotripsy time， shock wave frequency， hospitalization time， stone clearance rate and stone crushing rate between the two groups (P>0.05). The maximum diameter of stones>10 mm in the study group was 11.11%， which was lower than 40.00% in the control group， the difference was statistically significant (P<0.05).There was no statistical difference in the maximum diameter of stones <10 mm in the two groups (P>0.05). There was no significant difference in the level of urinary biomarkers between the two groups (P>0.05). There was no significant difference in the total incidence of complications between the two groups when the maximum diameter of stones was ≤10 mm (P>0.05). The total incidence of complications in the study group was 29.63% when the maximum diameter of stones >10 mm， which was higher than 4.00% in the control group， the difference was statistically significant (P<0.05). Conclusion The traditional ESWL with narrow focus and low energy and wide focus and high energy is an effective method for the treatment of renal calculi. The high energy reverberation rate of wide focus and high energy is relatively low for stones >10 mm， but it will increase the incidence of postoperative complications., 百拇医药(陈文成 潘翔 刘永昌)