摘要
目的探讨肾结石伴肾盂输尿管扭曲患者一期行输尿管软镜钬激光碎石术治疗的效果与价值。方法选择2021年1月—2022年12月镇江市中西医结合医院收诊的100例肾结石伴肾盂输尿管扭曲患者为研究对象,将患者进行随机编号,根据奇偶性分组,对照组(奇数编号,50例)采取经皮肾镜碎石术,观察组(偶数编号,50例)采取一期输尿管软镜钬激光碎石术。比较两组结石去除率、围术期指标、肾功能、炎症因子、应激指标、并发症。结果观察组患者术后1周、2周结石去除率为90.00%、98.00%,均高于对照组,差异有统计学意义(χ^(2)=6.250、8.274,P均<0.05)。观察组手术总时长高于对照组,患者术中出血量低于对照组,术后留置尿管时间及住院总时间短于对照组,差异有统计学意义(P均<0.05)。同时术后观察组患者肾功能指标、炎症因子水平及应激指标均低于对照组,差异有统计学意义(P均<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论临床治疗肾结石伴肾盂输尿管扭曲可采取一期输尿管软镜钬激光碎石术方案,效果确切,对患者肾功能造成损伤小,并发症少。
Objective To investigate the effect and value of one-stage ureteral soft scope holmium laser lithotripsy in the treatment of patients with renal calculus and periscopal ureter distortion.Methods A total of 100 patients with renal calculus accompanied with ureteropelvus distortion admitted to Zhenjiang Hospital of Integrated Traditional Chinese and Western Medicine from January 2021 to December 2022 were selected as the study objects.The patients were randomly numbered and grouped according to parity.Percutaneous nephrolithotripsy was performed in the control group(50 cases numbered in odd number),and one-stage ureteral soft holmium laser lithotripsy was performed in the observation group(50 cases numbered in even number).The stone removal rate,perioperative indexes,renal function,inflammatory factors,stress indexes and complications were compared between the two groups.Results The stone removal rates of observation group 1 week and 2 weeks after surgery were 90.00% and 98.00%,respectively,which were higher than those of control group,and the differences were statistically significant(χ^(2)=6.250,8.274,both P<0.05).The total operation time of the observation group was higher than that of the control group,the intraoperative blood loss was lower than that of the control group,and the postoperative catheter indentation time and total hospital stay were shorter than that of the control group,the differences were statistically significant(all P<0.05).At the same time,the renal function indexes,inflammatory factors and stress indexes in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).The total incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion In the clinical treatment of renal calculi accompanied by distortion of the ureteropelvic,the onestage ureteral soft lens holmium laser lithotripsy is effective and has little damage to the patie
作者
王星
赵梦颖
冯瑞
葛广成
WANG Xing;ZHAO Mengying;FENG Rui;GE Guangcheng(Department of Urology,Zhenjiang Hospital of Integrated Traditional Chinese and Western Medicine,Zhenjiang,Jiangsu Province,212000 China)
出处
《系统医学》
2024年第7期14-18,共5页
Systems Medicine
基金
镇江市科技计划项目(SH2022096)。
关键词
一期
输尿管软镜钬激光碎石术
肾结石
肾盂输尿管扭曲
One-stage
Urreteral soft scope holmium laser lithotripsy
Kidney stones
Periscopal ureter distortion
