【摘要】 目的探讨不同时机手术治疗体外冲击波碎石失败后输尿管结石合并感染的临床效果。方法选择2019年4月至2020年6月我院收治的体外冲击波碎石失败后输尿管结石合并感染患者60例,随机分为A组和B组各30例。A组在体外冲击波碎石失败后尽快行逆行经尿道输尿管镜取石术,B组在体外冲击波碎石失败后休养两周再行逆行经尿道输尿管镜取石术。对比两组的疗效。结果 A组的结石清除率高于B组,术后并发症发生率低于B组(P <0.05)。治疗后,A组的尿白细胞计数和尿红细胞计数低于B组(P <0.05)。A组的临床症状消失时间短于B组,治疗总有效率高于B组(P <0.05)。结论手术时机可明显影响体外冲击波碎石失败后输尿管结石合并感染的临床效果,且在体外冲击波碎石失败后尽快进行手术疗效更佳,可改善各项生理指标,值得临床推广应用。更多还原

【Abstract】 Objective To explore the clinical effect of surgical treatment at different timing for ureteral calculi complicated with infection after failure of extracorporeal shock wave lithotripsy. Methods 60 patients with ureteral calculi complicated with infection after failure of extracorporeal shock wave lithotripsy in our hospital from April 2019 to June 2020 were selected and randomly divided into group A and group B, with 30 cases in each group. Group A received retrograde transurethral ureteroscopic lithotomy as soon as possible after failure of extracorporeal shock wave lithotripsy, while group B received retrograde transurethral ureteroscopy after 2 weeks of recuperation.The efficacy was compared between the two groups. Results The stone clearance rate in group A was higher than that in group B, and the incidence of postoperative complications was lower than that in group B(P <0.05). After treatment, the urine white blood cell count and urine red blood cell count in group A were lower than those in group B(P <0.05). The disappearance time of clinical symptoms in group A was shorter than that in group B, and the total effective rate of treatment was higher than that in group B(P <0.05). Conclusions Surgical timing can significantly affect the clinical effect of ureteral calculi complicated with infection after failure of extracorporeal shock wave lithotripsy. Surgery as soon as possible after failure of extracorporeal shock wave lithotripsy has better efficacy, which can improve the physiological indicators, and is worthy of clinical promotion and application.更多还原