摘要
目的 探讨上尿路结石患者应用输尿管软镜碎石术的治疗效果。方法 方便选取福建医科大学附属三明第一医院2019年5月—2021年6月收治的92例上尿路结石患者作为研究对象,应用随机数表法分为观察组(输尿管软镜碎石术)和对照组(经皮肾镜取石术),各46例。对比两组患者的手术指标、一期结石清除率、术后并发症发生情况、术后疼痛症状、肾功能指标,评价手术治疗效果。结果 观察组的手术时间比对照组更长,住院时间比对照组更短,Hb下降值、CRP上升值比对照组更低,差异有统计学意义(P<0.05);结石直径<2cm,观察组患者的一期结石清除率高于对照组,差异有统计学意义(P<0.05);结石直径≥2cm,观察组患者的一期结石清除率低于对照组,差异有统计学意义(P<0.05);观察组患者的并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组患者的术后24、72 h的VAS评分低于对照组,差异有统计学意义(P<0.05);与术前相比,两组患者术后24 h的Scr水平、CysC水平显著提升,且观察组患者的术后24 h的Scr水平、CysC水平高于对照组,差异有统计学意义(P<0.05)。结论 在上尿路结石患者的临床治疗中,输尿管软镜碎石术是一种安全、有效的治疗方式,手术创伤较小,可以减少疼痛症状、并发症对于术后恢复的影响,有助于肾功能的良好恢复。
Objective Exploring the therapeutic effect of ureteroscopic lithotripsy on patients with upper urinary tract stones.Methods 92 patients with upper urinary tract stones admitted to Sanming First Hospital Affiliated to Fujian Medical University from May 2019 to June 2021 were selected conveniently as the study subjects.They were randomly divided into an observation group(ureteroscopic lithotripsy)and a control group(percutaneous nephrolithotomy)using a random number table method,with 46 patients in each group.Compared the surgical indicators,primary stone clearance rate,postoperative complications,postoperative pain symptoms,and renal function indicators of two groups of patients to evaluate the effectiveness of surgical treatment.Results The observation group had a longer surgical time,shorter hospital stay,lower Hb decrease and CRP increase compared to the control group,and the difference was statistically significant(P<0.05);the stone diameter was less than 2 cm,and the primary stone clearance rate of the observation group patients was higher than that in the control group,and the difference was statistically significant(P<0.05);the stone diameter≥2 cm,and the primary stone clearance rate of the observation group patients was lower than that of the control group,and the difference was statistically significant(P<0.05);the incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05);The pain VAS scores of the observation group patients at 24 h and 72 h after surgery were lower than those of the control group,and the difference was statistically significant(P<0.05);compared with preoperative,the Scr and CysC levels of the two groups of patients significantly increased 24 hours after surgery,and the difference was statistically significant(P<0.05);the Scr and CysC levels of the observation group patients at 24 hours after surgery were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion In the clinical treatment of patients with upper urinary tract stones,ureteroscopic lithotripsy is a safe and effective treatment method with minimal surgical trauma,which can reduce the impact of pain symptoms and complications on postoperative recovery,and contribute to the good recovery of renal function.
作者
吴宗强
WU Zongqiang(Department of Urology,Sanming First Hospital Affiliated to Fujian Medical University,Sanming,Fujian Province,365000 China)
出处
《中外医疗》
2023年第6期109-113,共5页
China & Foreign Medical Treatment
关键词
输尿管软镜碎石术
上尿路结石
临床疗效
Ureteroscopic lithotripsy
Upper urinary calculi
Clinical effect
