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关于尿路结石论文范文资料 与输尿管支架管在尿路结石治疗的临床实用价值有关论文参考文献

版权:原创标记原创 主题:尿路结石范文 科目:专科论文 2024-03-29

《输尿管支架管在尿路结石治疗的临床实用价值》:本文关于尿路结石论文范文,可以做为相关论文参考文献,与写作提纲思路参考。

[摘 要] 目的 探讨输尿管支架管在泌尿外科的临床实用价值.方法 于该院泌尿外科2015年10月—2016年10月收治的患者中,随机选取92例作为样本,将其随机分为治疗组(46例)与对照组(46例)2组.对照组给予药物治疗后,采用常规手术方法治疗.治疗组将输尿管支架管应用到疾病的治疗中.观察两组患者的治疗效果及并发症发生情况.结果 治疗组治疗有效率97.83%、并发症发生几率6.52%、治疗满意度97.83%;对照组治疗有效率84.78%、并发症发生几率23.91%、治疗满意度80.43%.两组数据对比,差异有统计学意义(P<0.05). 结论 应将输尿管支架管应用到泌尿外科输尿管结石等的治疗中,提高治疗的有效率及安全性.

[关键词] 输尿管支架管;泌尿外科;肉眼血尿;腰痛

[中图分类号] R699 [文献标识码] A [文章编号] 1674-0742(2018)01(a)-0100-03

Clinical Value of Ureteral Stent in the Treatment of Urinary Calculi

LIU Feng

Department of Urology, Chongqing Yongchuan District People’s Hospital, Chongqing, 402160 China

[Abstract] Objective This paper tries to investigate the clinical value of ureteral stent in urology surgery. Methods 92 cases in the Department of Urology of this hospital from October 2015 to October 2016 were randomly selected as a sample, they were randomly divided into treatment group (46 cases) and control group (46 cases). The control group was treated with medicine and treated by routine operation. The treatment group used ureteral stent in the treatment of the disease. The therapeutic effects and complications of the two groups were observed. Results The effective rate of the treatment group was 97.83%, the complication rate was 6.52%, the treatment satiaction was 97.83%, and the control group treatment rate was 84.78%, the complication rate was 23.91%, and the treatment satiaction was 80.43%. The difference between the two groups was statistically significant (P<0.05). Conclusion The ureteral stent can be used in the treatment of ureteral calculi in the Department of Urology, so as to improve the efficiency and safety of the treatment.

[Key words] Ureteral stent; Department of Urology; Gross hematuria; Lumbago

尿路结石是泌尿外科常见的多发疾病,尿路结石常以输尿管结石、肾结石为主,对患者生活质量影响严重.该病的常规治疗方法以药物、体外震波碎石、经尿道腔内碎石及开放性手术等联合手术为主.有研究[1]指出,将输尿管支架管应用到泌尿外科各类疾病的治疗中,有效率更高.该文于该院泌尿外科2015年10月—2016年10月收治的患者中,随机选取92例作为样本,对输尿管支架管的临床应用效果进行了观察,现报道如下.

1 资料与方法

1.1 一般资料

于该院泌尿外科收治的患者中,随机选取92例作为样本.以46例为一组,将其随机分为治疗组与对照组2组.治疗组男30例、女16例.年龄30~74岁,平均(55.66±1.87)岁.疾病类型:肾结石16例、输尿管结石30例.对照组患者男29例、女17例.年龄40~77岁,平均(55.70±1.91)岁.疾病类型:肾结石15例、输尿管结石 31例.2组患者临床资料对比,差异无统计学意义(P>0.05),具有可比性.

1.2 纳入与排除标准

1.2.1 纳入标准 ①患者已经生化指标检验及影像学检查(CT平扫或IVU)最终确诊.②患者无手术禁忌证.③患者无其他系统重大疾病.④无高血压、糖尿病等基础疾病.⑤知情同意.

1.2.2 排除标准 ①不符合手术适应症者排除.②存在心、肝等其他系统重大疾病者排除.③合并高血压、糖尿病、冠心病等慢性病者排除.④依从性差者排除.

1.3 方法

对照组给予药物治疗:①嘱患者多饮水、多运动,促进结石排出.②给予患者国药准字H20031099及国药准字H44022674维生素K松弛输尿管平滑肌,缓解疼痛.20 mg+30 mg维生素K,2次/d,肌内注射.或联合体外震波碎石治疗.治疗组将输尿管支架管应用到疾病的治疗中,方法如下:①肾结石患者于輸尿管镜或膀胱镜的辅助下,逆行置入支架管,再体外震波碎石联合口服药物排石治疗.输尿管结石患者,首先行气压弹道碎石术等手术治疗,后置入F4.7输尿管支架管.②术后7 d内复查尿路平片,了解输尿管支架管位置和有无结石残留.有结石残留者,予以口服药物排石或体外震波碎石联合口服药物排石治疗.③1个月内拔出输尿管支架管.

尿路结石论文参考资料:

健康之路期刊

微创泌尿外科杂志

成才之路期刊

健康之路杂志社

中华泌尿外科杂志

临床泌尿外科杂志

结论:输尿管支架管在尿路结石治疗的临床实用价值为关于对不知道怎么写尿路结石论文范文课题研究的大学硕士、相关本科毕业论文尿路结石论文开题报告范文和文献综述及职称论文的作为参考文献资料下载。

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