摘要
目的比较输尿管镜与微创经皮肾镜治疗输尿管上段嵌顿性结石的效果。方法将89例输尿管上段嵌顿性结石患者按照随机数字原则分为对照组(42例,输尿管镜碎石术)和观察组(47例,微创经皮肾镜碎石术),比较两组的治疗效果。结果观察组的手术时间、住院时间均长于对照组,住院费用及出血量均高于对照组(P<0.05)。术后1、5 d,观察组的TNF-α、IL-10水平均低于对照组(P<0.05)。术后,两组NGAL水平均高于术前,且对照组高于观察组(P<0.05)。观察组的结石清除率高于对照组(P<0.05)。结论微创经皮肾镜碎石术治疗输尿管上段嵌顿性结石的效果优于输尿管镜碎石术。
Objective To compare the clinical effects of ureteroscopy and minimally invasive percutaneous nephroscopy in the treatment of incarcerated upper ureteral calculi. Methods A total of 89 patients with incarcerated upper ureteral calculi were divided into control group (42 cases, ureteroscopic lithotripsy) and observation group (47 cases, minimally invasive percutaneous nephrolithotripsy) according to the principle of random numbers. The therapeutic effects of the two groups were compared. Results The operation time and hospitalization time of the observation group were longer than those of the control group, and the hospitalization expenses and bleeding volume were higher than those of the control group (P<0.05). The levels of TNF-α and IL-10 at 1 and 5 days after operation in the observation group were lower than those in the control group (P<0.05). After operation, the levels of NGAL in the two groups were higher than those before operation, and that in the control group was higher than the observation group (P<0.05). The stone clearance rate in the observation group was higher than that in the control group (P<0.05). Conclusion Minimally invasive percutaneous nephrolithotomy is superior to ureteroscopic lithotripsy in the treatment of incarcerated upper ureteral calculi.
作者
王修岭
WANG Xiu-ling(Luohe Hospital of Chinese Medicine, Luohe 462002, China)
出处
《临床医学研究与实践》
2019年第28期85-86,共2页
Clinical Research and Practice
关键词
输尿管上段嵌顿性结石
输尿管镜
微创经皮肾镜
incarcerated upper ureteral calculi
ureteroscopy
minimally invasive percutaneous nephroscopy
