摘要
目的比较输尿管软镜碎石术(FURL)、超微通道经皮肾镜取石术(SMP)在肾结石患者中的应用效果。方法选取2020年7月—2023年7月日照市中医医院收治的120例肾结石患者为研究对象,按随机数字表法将其分为对照组和观察组,各60例。对照组行SMP,观察组行FURL,两组均术后随访1个月。对比两组的手术情况、肾功能、炎症指标、并发症。结果两组结石清除率比较,差异无统计学意义(P>0.05)。观察组术中出血量为(13.41±1.59)mL,少于对照组的(19.75±2.36)mL,手术时间为(68.71±5.63)min,长于对照组的(53.21±3.89)min,住院时间为(3.21±0.59)d,短于对照组的(7.89±1.36)d,并发症发生率为3.33%,低于对照组的15.00%,且术后尿素氮为(6.83±1.40)mmol/L,血肌酐为(66.35±6.39)μmol/L,白细胞计数为(12.28±1.97)×10^(9)/L,C反应蛋白为(10.25±1.36)mg/L,均低于对照组的(7.78±1.98)mmol/L、(79.65±8.20)μmol/L、(15.72±2.36)×10^(9)/L、(16.48±2.31)mg/L,组间差异有统计学意义(P<0.05)。结论与SMP比较,FURL虽然会延长手术时间,但对肾结石患者的肾功能损伤较小,引起的炎症反应更轻微,且并发症少,有助于患者术后快速恢复,临床可推广应用。
Objective Comparison of the application effects of flexible ureteroscope lithotripsy(FURL)and super-mini percutaneous nephrolithotomy(SMP)using ultra-fine channels in patients with kidney stones.Methods Selecting 120 patients with kidney stones admitted to Rizhao Traditional Chinese Medicine Hospital from July 2020 to July 2023 as the research subjects,and they were divided into a control group and an observation group using a random number table method,with 60 cases in each group.The control group received SMP,the observation group received FURL,both groups were follow up for 1 month after surgery.The operation condition,kidney function,inflammation index and complications were compared between the two groups.Results Comparison of stone clearance rates between two groups,the difference was not statistically significant(P>0.05).The intraoperative blood loss in the observation group was(13.41±1.59)mL,less than(19.75±2.36)mL in the control group,the operative time was(68.71±5.63)min,longer than(53.21±3.89)min in the control group,and the length of hospitalization was(3.21±0.59)d,shorter than the control group’s(7.89±1.36)d,and the complication rate was 3.33%,lower than the control group's 15.00%moreover,blood urea nitrogen was(6.83±1.40)mmol/L,serum creatinine was(66.35±6.39)μmol/L,white blood cell count was(12.28±1.97)×10^(9)/L,C-reactive protein was(10.25±1.36)mg/L,which was lower than(7.78±1.98)mmol/L,(79.65±8.20)μmol/L,(15.72±2.36)×10^(9)/L,(16.48±2.31)mg/L in the control group,respectively,the differences were statistically significant between the two group(P<0.05).Conclusion Compared to SMP,although FURL can prolong the operation time,it has less damage to renal function in patients with kidney stones,causes less inflammatory reaction,and has fewer complications,which helps patients to recover quickly after surgery,and can be widely used in clinic.
作者
杨兴忠
韩艳梅
何礼涛
YANG Xingzhong;HAN Yanmei;HE Litao(Department of Urinary Surgery,Rizhao Traditional Chinese Medicine Hospital,Rizhao 276800,China)
出处
《反射疗法与康复医学》
2024年第17期97-99,共3页
Reflexology And Rehabilitation Medicine
关键词
肾结石
输尿管软镜碎石术
起微通道经皮肾镜取石术
并发症
炎症反应
肾功能
Kidney stones
Flexible ureteroscope lithotripsy
Super-mini percutaneous nephrolithotomy
Complications
Inflammatory response
Kidney function
