摘要
目的:探讨输尿管镜原位碎石和移位碎石治疗输尿管上段结石的效果。方法:选取2021年6月—2022年6月锦州医科大学附属第一医院收治的100例输尿管上段结石患者作为研究对象,以随机抽签法分为观察组与对照组,各50例。观察组实施原位碎石治疗,对照组实施移位碎石治疗。比较两组治疗效果。结果:观察组结石清除率高于对照组,差异有统计学意义(P=0.015)。观察组手术时间短于对照组,治疗费用低于对照组,差异有统计学意义(P<0.001);两组住院时间比较,差异无统计学意义(P>0.05)。观察组肾周围炎发生率低于对照组,输尿管狭窄发生率高于对照组,差异有统计学意义(P<0.05)。手术前和手术后,两组尿酸、肌酐、中性粒细胞百分比、白细胞水平比较,差异均无统计学意义(P>0.05)。结论:输尿管镜原位碎石和移位碎石治疗输尿管上段结石均有较好的效果,原位碎石的结石清除率较高,手术时间较短,治疗费用较低,但会增加输尿管狭窄风险,临床医师可根据患者实际情况合理选择手术方式。
Objective:To explore the effect of ureteroscopic in situ lithotripsy and displaced lithotripsy in the treatment of upper ureteral calculi.Methods:A total of 100 patients with upper ureteral calculi admitted to the First Affiliated Hospital of Jinzhou Medical University from June 2021 to June 2022 were selected as the study subjects.They were divided into control group and observation group according to random lottery method,with 50 cases in each group.The observation group was treated with in situ lithotripsy,and the control group was treated with displaced lithotripsy.The treatment effects of the two groups were compared.Results:The stone clearance rate in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.015).The operation time in the observation group was shorter than that in the control group,and the treatment cost in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.001).There was no significant difference in length of hospital stay between the two groups(P>0.05).The incidence of perinephritis in the observation group was lower than that in the control group,and the incidence of ureteral stenosis in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Before and after surgery,there were no significant differences in uric acid,creatinine,percentage of neutrophils,and levels of white blood cells between the two groups(P>0.05).Conclusion:Ureteroscopic in situ lithotripsy and displaced lithotripsy have good effects in the treatment of upper ureteral calculi,and the in situ lithotripsy has a high stone clearance rate,shorter operation time,and lower treatment cost,but it may increase the risk of ureteral stenosis.Clinicians can reasonably choose the surgical approach according to the actual situation of patients.
作者
赵石磊
刘奔
Zhao Shilei;Liu Ben(Postgraduate Training Base of Jinzhou Medical University in Dandong Central Hospital,Dandong 118000,Liaoning Province,China;Urology Department,The First Affiliated Hospital of Jinzhou Medical University,Jinzhou 121000,Liaoning Province,China)
出处
《中国社区医师》
2023年第18期43-45,共3页
Chinese Community Doctors
关键词
输尿管上段结石
输尿管镜
移位碎石
原位碎石
Upper ureteral calculi
Ureteroscopy
Displaced lithotripsy
In situ lithotripsy
