Efficacy of different ultrasound-localizing methods in extracorporeal shock wave lithotripsy for upper ureteral calculus patients
10.3969/j.issn.1009-0754.2018.01.018
- VernacularTitle:经腹侧超声定位与经背侧超声定位在输尿管上段结石体外冲击波碎石术中的应用比较
- Author:
Yi WANG
1
;
Cuilong LIU
Author Information
1. 海军总医院泌尿外科
- Keywords:
Ultrasonic localization;
Extracorporeal shock wave lithotripsy;
Ureteral calculus
- From:
Journal of Navy Medicine
2018;39(1):62-65
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy of different ultrasound-localizing methods in extracorporeal shock wave litho-tripsy(ESWL)on patients with upper ureteral calculi.Methods One hundred and ninety-two patients with upper ureteral calculi ad-mitted into the Urinary Surgical Department of the hospital for treatment from May 2016 to May 2017 were recruited as research sub-jects.They were divided into the experimental group and the control group in accordance with different ultrasound-localizing methods, each consisting of ninety-six patients.The experimental group was treated with the transabdominal ultrasound-localizing method,while the control group had the transback ultrasound-localizing method.The distance between calculi and skin, the ultrasound-localizing time,the treatment effect and the rate of complications were closely observed and analyzed.Results The success rate of lithotripsy for the experimental group was ≤3 times(90.6%), which was higher than that of the control group(78.1%).In the experimental group,the distance between calculi and skin [(3.7 ±1.4)cm] and the ultrasound-localizing time [(5.1 ±2.5)min] were all signifi-cantly shorter than those of the control group [(8.1 ±2.3)cm,(12.3 ±3.1)min].There were statistical differences, when compari-sons were made between them(P<0.05).However,there was no statistical significance in the rate of complications,when comparisons were made between the 2 groups(P>0.05).Conclusion The transabdominal ultrasound-localizing extracorporeal shock wave lithotripsy could effectively be applied in the treatment of patients with upper ureteral calculi,with the advantages of shorter localizing time,shorter distance between calculi and skin,better accuracy,lower loss of shock wave power and better lithotriptic efficacy.For this reason,it is worth further clinical promotion.
