摘要
目的分析输尿管镜技术在泌尿外科治疗中的应用效果。方法120例泌尿外科手术患者,按照随机分组的方式分为观察组与对照组,每组60例。对照组行常规外科手术治疗,观察组在输尿管镜技术辅助下行外科手术治疗。比较两组患者治疗恢复情况(黏膜损伤评分、住院时间)、治疗效果、并发症(形成假道、结石嵌顿、输尿管穿孔、输尿管撕裂)发生情况。结果观察组患者黏膜损伤评分(26.12±1.89)分低于对照组的(62.11±1.67)分,住院时间(8.89±1.46)d短于对照组的(12.42±1.79)d,差异具有统计学意义(P<0.05)。观察组治疗总有效率98.33%高于对照组的83.33%,差异具有统计学意义(P<0.05)。观察组患者形成假道、结石嵌顿、输尿管穿孔、输尿管撕裂发生率分别为3.33%、0、0、0,均低于对照组的13.33%、6.67%、6.67%、6.67%,差异均具有统计学意义(P<0.05)。结论在输尿管镜技术辅助下开展泌尿外科手术,可以提高患者的治疗效果,减少黏膜损伤情况,降低并发症发生率,利于患者预后。
Objective To analyze the practical effect of ureteroscopy technique in urological treatment.Methods A total of 120 patients undergoing urological surgery were divided into observation group and control group according to random grouping method,with 60 cases in each group.The control group received conventional surgery,and the observation group received ureteroscope adjuvant surgery.The treatment recovery(mucosal injury score,hospitalization time),treatment effect,and complications(formation of false canal,stone incarceration,ureteral perforation,ureteral tear)were compared between the two groups.Results The mucosal injury score(26.12±1.89)points of the observation group was lower than(62.11±1.67)points of the control group,and hospitalization time(8.89±1.46)d was shorter than(12.42±1.79)d of the control group,and the difference was statistically significant(P<0.05).The total effective rate of treatment 98.33%of the observation group was higher than 83.33%of the control group,and the difference was statistically significant(P<0.05).The incidence of formation of false canal,stone incarceration,ureteral perforation,ureteral tear of the observation group were 3.33%,0,0 and 0,which were all lower than 13.33%,6.67%,6.67%and 6.67%of the control group,and the difference was statistically significant(P<0.05).Conclusion Under the guidance of ureteroscopy,urological surgery can improve the treatment effect,reduce mucosal injury,and lower the incidence of complications,which is beneficial for the patient's prognosis.
作者
王延坤
WANG Yan-kun(Dongguan Central Hospital,Donggang 118300,China)
出处
《中国实用医药》
2021年第6期34-36,共3页
China Practical Medicine
关键词
输尿管镜
泌尿外科
黏膜损伤
Ureteroscopy
Urological department
Mucosal injury
