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1、上尿路結(jié)石患者行ESWL治療后并發(fā)癥及預(yù)防措施［摘要］目的探令體外沖擊波碎石治療上尿路結(jié)石后的并發(fā)癥和應(yīng)采取的預(yù)防措施。方法選取我院自2014年9月?2016年10月泌尿科收治進(jìn)行ESWL治療的患者500例，對(duì)術(shù)后產(chǎn)生的并發(fā)癥采取相應(yīng)的處理措施，并根據(jù)有無并發(fā)癥分為觀察組與對(duì)照組，比較兩組患者觀察指標(biāo)的差異；進(jìn)一步將觀察組患者分成血尿組、尿路感染組、血尿合并尿路感染組，分別與對(duì)照組比較觀察指標(biāo)差異?？偨Y(jié)出預(yù)防ESWL術(shù)后并發(fā)癥的最佳預(yù)防措施。結(jié)果500例患者的體外碎石有效率為94.8%；387例患者
2、治療后出現(xiàn)血尿、腎絞痛、皮膚出血、石街、尿路感染和腎包膜下血腫六種并發(fā)癥，并發(fā)癥比率從高到低不等。觀察組、血尿組、尿路感染組、血尿合并尿路感染組在結(jié)石沖擊次數(shù)、能量、長度及寬度方面明顯高于對(duì)照組。結(jié)論掌握ESWL治療的并發(fā)癥發(fā)生原因，針對(duì)每種并發(fā)癥采取最佳的預(yù)防措施，可以減少或避免并發(fā)癥的發(fā)生，以增強(qiáng)療效。［關(guān)鍵詞］上尿路結(jié)石；體外沖擊波碎石；并發(fā)癥；預(yù)防措施；血尿［中圖分類號(hào)］R693+.4［文獻(xiàn)標(biāo)識(shí)碼］B［文章編號(hào)］1673-970118-0091-04Thecomplicationsandpr
3、eventivemeasuresaftertreatmentofESWLinpatientswithupperurinarycalculiTANGXiayanLithotripsyCenter,JinhuaCentralHospitalinZhejiangProvince，Jinhua321000，China[Abstract]ObjectiveToexplorethecomplicationsandthepreventivemeasurestobetakenafterthetreatmentofu
4、pperurinarycalculiwithextracorporealshockwavelithotripsy.Methods500patientstreatedwithESWLinourhospitalfromSeptember2014toOctober2016wereenrolled.Thecorrespondingmeasuresweretakentodealwiththecomplicationsaftersurgery.Thepatientsweredividedintoobservat
5、iongroupandcontrolgroup，andthedifferencesinobservationindexeswerecomparedbetweenthetwogroups.Thepatientsintheobservationgroupweredividedintohematuriagroup,urinarytractinfectiongroupandhematuriacombinedwithurinarytractinfectiongroup，andthedifferenceinob
6、servationindexesoftheabovegroupswerecomparedwiththethoseofcontrolgrouprespectively.AndthebestpreventivemeasurestopreventpostoperativecomplicationsofESWLweresummarized.ResultsTheeffectiverateofextracorporeallithotripsywas94.8%in500patients.Sixkindsofcom
7、plicationsincludinghematuria，renalcolic，skinbleeding,stonestreet，urinarytractinfectionandrenalsubcapsularhematomaoccurredin387patients.Withcomplicationraterangingfromhightolow.Thenumberofstoneshocks，energy，lengthandwidthintheobservationgroup，hematuriag
8、roup，urinarytractinfectiongroupandhematuriacombinedwithurinarytractinfectiongroupwerehigherthanthoseinthecontrolgroup.ConclusionMasteringthecausesofcomplicationsofESWLtreatmentandtakingthebestprecautionsforeachcomplicationcanreduceoravo
