Value of low energy extracorporeal shock wave lithotripsy in the treatment of urinary calculi
低能量体外冲击波碎石治疗泌尿系结石的价值

摘要

目的 探讨并分析低能量体外冲击波碎石治疗泌尿系结石的效果与实际应用价值。方法 结合研究排除以及纳入标准从本院在2021/1-2022/1时间段内收治的泌尿系结石患者中选取178例作为研究对象，两组患者进行电脑数字录入随机分组，对照组与实验组各89例，实验组患者接受低能量体外冲击波碎石（ESWL）技术进行治疗，对照组则采用传统排石颗粒进行保守治疗，在规范治疗后，对比两组患者的治疗有效率、并发症、治疗后疼痛情况与生活质量、对比术后复发率。结果 经过不同治疗方案实施之后，实验组患者治疗有效率显著更高、生活质量对比更好、术后复发率对比更低，相关差异对比有统计学意义（P<0.05），两组患者并发症以及治疗后疼痛差异无统计学意义（P>0.05）。结论 针对泌尿系结石患者开展低能量体外冲击波碎石治疗效果相较于保守治疗效果显著更好，能够显著提高排石率，降低术后复发率，患者的生活质量得以显著改善。临床中，手术受到结石成分和结石大小的影响，实际效果可能受到一定的影响，但是其出血量少、恢复较快的优点仍然受到临床欢迎，在实际应用中效果仍然肯定，值得临床使用。

Abstract

Objective: To explore and analyze the effect and practical application value of low-energy extracorporeal shock wave lithotripsy in the treatment of urinary calculi.
Methods: Combined with the study exclusion and inclusion criteria, 178 patients with urinary calculi admitted to our hospital during the period of 20201/1-2020/1 were selected as the study objects. The two groups of patients were randomly divided into two groups by computer digital input, with 89 patients in the control group and 89 in the experimental group. The experimental group was treated with low energy extracorporeal shock wave lithotripsia (ESWL) technology. The control group was treated with traditional Paishi granules for conservative treatment. After standard treatment, the treatment efficiency, complications, pain and quality of life after treatment, and postoperative recurrence rate were compared between the two groups.
Results: After the implementation of different treatment plans, the treatment effective rate of patients in the experimental group was significantly higher, the comparison of quality of life was better, the comparison of postoperative recurrence rate was lower, the correlation difference was statistically significant (P<0.05), complications and pain after treatment between the two groups had no statistical significance (P>0.05).
Conclusion  s: Compared with conservative treatment, low-energy extracorporeal shock wave lithotripsy has a significantly better effect on patients with urinary calculi, which can significantly improve the stone discharge rate, reduce postoperative recurrence rate, and significantly improve the quality of life of patients. In clinical practice, the operation is affected by stone composition and stone size, and the actual effect may be affected to a certain extent. However, its advantages of less blood loss and faster recovery are still welcomed in clinical practice, and its effect is still positive in practical application, which is worthy of clinical use.