【摘要】：目的:探討光耦合控制技術(shù)(OCC)在體外沖擊波治療上尿路結(jié)石的臨床效果。方法:將407例行體外沖擊波碎石(SWL)的上尿路結(jié)石患者作為研究對(duì)象,隨機(jī)分為研究組(205例,采用OCC)和對(duì)照組(202例,采用盲法耦合技術(shù))。應(yīng)用多尼爾Compact DeltaⅡUIMS沖擊波治療儀進(jìn)行碎石,比較兩組結(jié)石排出率、碎石所需能量、沖擊波次數(shù)及冶療時(shí)間等,并進(jìn)行統(tǒng)計(jì)分析。結(jié)果:研究組和對(duì)照組結(jié)石排出率分別為80.5%和63.9%(P0.01),碎石所需的能量分別為(1.7±0.6)和(2.4±0.6)級(jí),沖擊波次數(shù)分別為(1900±403)和(2400±440)次,治療時(shí)間分別為(21.5±5.3)和(27.6±7.3)min,兩組比較差異均有統(tǒng)計(jì)學(xué)意義(P0.01)。結(jié)論:應(yīng)用OCC進(jìn)行碎石能夠更好地傳遞沖擊波,減少能量的損耗,提高碎石效果。
[Abstract]:Objective: to investigate the clinical effect of (OCC) in the treatment of upper urinary calculi with extracorporeal shock wave. Methods: 407 patients with upper urinary tract calculi treated with extracorporeal shock wave lithotripsy (SWL) were randomly divided into study group (205 cases, OCC) and control group (202 cases, with blind coupling technique). The lithotripsy was performed with Compact Delta 鈪，

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