摘要
目的:观察硕通镜钬激光碎石术治疗嵌顿性输尿管上段结石患者的效果。方法:回顾性分析2017年5月至2020年4月该院收治的86例嵌顿性输尿管上段结石患者的临床资料,根据治疗方案不同分为对照组和研究组各43例。对照组行输尿管镜钬激光碎石术(URHL)治疗,研究组行硕通镜钬激光碎石术治疗。比较两组手术相关指标[手术时间、术后住院时间、术后1 d视觉模拟评分法(VAS)评分]水平,术前和术后1、3 d血清炎性指标[C反应蛋白(CRP)、降钙素原(PCT)]水平,肾功能指标[血尿素氮(BUN)、血肌酐(Scr)]水平,结石清除率及并发症发生率。结果:研究组手术时间和术后住院时间均短于对照组,术后1 d VAS评分低于对照组,差异有统计学意义(P<0.05);术后1 d、1个月,研究组结石清除率依次为90.70%(39/43)、100.00%(43/43),分别高于对照组的69.77%(30/43)、86.05%(37/43),差异均有统计学意义(P<0.05);术后1、3 d,两组CRP和PCT水平均高于术前,但研究组低于对照组,差异有统计学意义(P<0.05);术后3 d,两组CRP和PCT水平均低于术后1 d,差异有统计学意义(P<0.05);术后1、3 d,两组BUN、Scr水平均高于术前,但研究组低于对照组,差异有统计学意义(P<0.05);术后3 d,两组BUN、Scr水平均低于术后1 d,差异有统计学意义(P<0.05);研究组并发症发生率为9.30%(4/43),低于对照组的27.91%(12/43),差异有统计学意义(P<0.05)。结论:硕通镜钬激光碎石术治疗嵌顿性输尿管上段结石患者可缩短手术时间和术后住院时间,降低VAS评分、血清炎性指标水平、肾功能指标水平和并发症发生率,以及提高结石清除率,效果优于输尿管镜钬激光碎石术治疗。
Objective:To observe effects of Shuotong ureteroscopic Holmium laser lithotripsy in treatment of patients with incarcerated upper ureteral calculi.Methods:The clinical data of 86 patients with incarcerated upper ureteral calculi admitted to our hospital from May 2017 to April 2020 were retrospectively analyzed.According to different treatment plans,they were divided into control group and study group,43 cases in each group.The control group was treated with ureteroscopic Holmium laser lithotripsy(URHL),while the study group was treated with Shuotong ureteroscopic Holmium laser lithotripsy.The levels of surgery-related indicator levels[operation time,postoperative hospitalization time,visual analogue scale(VAS)score 1 day after the surgery],the serum inflammatory factor levels[C-reactive protein(CRP),procalcitonin(PCT)]]before and 1 and 3 days after the surgery,the renal function indicator levels[urea nitrogen(BUN),serum creatinine(Scr)]levels,the stone clearance rate and the incidence of complications were compared between the two groups.Results:The operation time and the postoperative hospitalization time of the study group were shorter than those of the control group;the VAS score 1 day after the surgery was lower than that of the control group;and the differences were statistically significant(P<0.05).1 day and 1 month after the surgery,the stone clearance rates of the study group were 90.70%(39/43)and 100.00%(43/43),respectively,which were higher than 69.77%(30/43)and 86.05%(37/43)of the control group,respectively,and the differences were statistically significant(P<0.05).1 and 3 days after the surgery,the levels of CRP and PCT in the two groups were higher than those before the surgery,but those of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).3 days after the surgery,the levels of CRP and PCT in the two groups were lower than those 1 day after the surgery,and the difference was statistically significant(P<0.05).1 and 3 days after the su
作者
史才臣
SHI Caichen(Department of Urology of Zhecheng People’s Hospital,Shangqiu 476200 Henan,China)
出处
《中国民康医学》
2022年第10期38-41,共4页
Medical Journal of Chinese People’s Health
关键词
硕通镜
输尿管镜
钬激光碎石术
嵌顿性
输尿管上段结石
疼痛
肾功能
Shuotong ureteroscopy
Ureteroscopy
Holmium laser lithotripsy
Incarcerated
Upper ureteral calculi
Pain
Renal function
