摘要
目的分析输尿管软镜联合硬镜治疗复杂性输尿管上段结石的效果.方法选取2021年1月—2022年8月本院收治的40例复杂性输尿管上段结石患者为研究对象,依照随机数字表法分为对照组、观察组,各20例.对照组行微创经皮肾镜取石术,观察组行输尿管软镜联合硬镜钬激光碎石术,均观察至术后3个月.比较两组患者的结石清除率、手术相关指标、炎症因子水平及并发症发生情况.结果两组的结石清除率比较,差异无统计学意义(P>0.05).观察组的术中出血量为(8.35±1.36)mL,少于对照组的(24.37±2.95)mL,手术时间为(63.59±5.41)min,长于对照组的(49.31±4.57)min,住院时间为(4.20±1.31)d,短于对照组的(6.53±1.75)d,组间差异有统计学意义(P<0.05).术后3d,观察组的C反应蛋白、白细胞介素-6水平分别为(15.36±2.45)mg/L、(2.26±0.61)ng/L,均低于对照组的(24.56±3.21)mg/L、(3.89±0.84)ng/L,组间差异有统计学意义(P<0.05).两组的并发症发生率比较,差异无统计学意义(P>0.05).结论输尿管软镜联合硬镜在复杂性输尿管上段结石患者中的作用明显,能减少手术出血量,缩短住院时间,还能减轻手术引起的炎症反应,且并发症较少,临床应用价值较高,可进行大力推广.
Objective To analyze the role of flexible combined with hard ureteroscope in patients with complicated upper ureteral calculi.Methods 40 patients with complicated upper ureteral calculi admitted to our hospital from January 2021 to August 2022 were selected as the research objects and were divided into a control group and an observation group according to random number table method,20 cases in each group.The control group underwent minimally invasive percutaneous nephrolithotomy,and the observation group underwent flexible and hard ureteroscope holmium laser lithotripsy.Both groups were observed until 3 months after surgery.The calculi clearance rate,operation-related indexes,levels of inflammatory factors and the occurrence of complications were compared between the two groups.Results There was no significant difference in the calculus clearance rate between the two groups(P>0.05).The intraoperative blood loss in the observation group was(8.35±1.36)mL,less than(24.37±2.95)mL in the control group,the operative time was(63.59±5.41)min,longer than(49.31±4.57)min in the control group,and the length of hospital stay was(4.20±1.31)d,shorter than(6.53±1.75)d in the control group,and the differences between the groups were statistically significant(P<0.05).3 days after surgery,the levels of Creactive protein and interleukin-6 in the observation group were(15.36±2.45)mg/L and(2.26±0.61)ng/L,respectively,which were lower than(24.56±3.21)mg/L and(3.89±0.84)ng/L in the control group,and the differences between the groups were statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Flexible combined with hard ureteroscope has an obvious effect on patients with complicated upper ureteral calculi,which can reduce the amount of surgical bleeding,shorten the length of hospital stay,and reduce the inflammatory reaction caused by surgery,with fewer complications,high clinical application value,and can be promoted vigorously.
作者
任志强
赵海洋
REN Zhiqiang;ZHAO Haiyang(Department of Urology,Guangrao County People's Hospital,Dongying Shandong,257300,China)
出处
《反射疗法与康复医学》
2023年第7期157-160,共4页
Reflexology And Rehabilitation Medicine
关键词
复杂性输尿管上段结石
并发症
炎症因子
Complicated upper ureteral calculi
Complications
Inflammatory factors
