摘要
目的分析输尿管软镜钬激光碎石(FURL)与硬镜气压弹道碎石(URSL)对输尿管结石合并肾积水患者的影响。方法选取2020年10月—2023年10月枣庄市峄城区人民医院收治的82例输尿管结石合并肾积水患者为研究对象,按随机数字表法将其分为对照组与观察组,每组41例。对照组行URSL,观察组行FURL。对比两组手术相关指标、应激反应及并发症发生情况。结果两组一次性结石清除率、术中出血量、手术时间、住院时间相比,组间差异无统计学意义(P>0.05);术后1 d,观察组皮质醇水平为(223.26±22.49)ng/mL,促肾上腺皮质激素水平为(20.51±2.03)pmol/L,均低于对照组的(249.73±25.32)ng/mL、(25.67±2.78)pmol/L,组间差异有统计学意义(P<0.05)。观察组并发症发生率为4.88%,低于对照组的19.51%,差异有统计学意义(P<0.05)。结论与URSL比,FURL引起的应激反应更轻,并发症更少,有助于输尿管结石合并肾积水患者术后病情的转归,存在一定的应用价值,值得临床推广应用。
Objective To analyze the effects of flexible ureteral holmium laser lithotripsy(FURL)and hard ureteral pneumatic lithotripsy(URSL)on patients with ureteral calculi complicated with hydronephrosis.Methods A total of 82 patients with ureteral calculi complicated with hydronephroid admitted to Yicheng District People's Hospital of Zaozhuang City from October 2020 to October 2023 were selected as the study objects,they were divided into a control group and an observation group according to random number table method,with 41 cases in each group.The control group received URSL and the observation group received FURL.Operation related indexes,stress response and occurrence of complications were compared between the two groups.Results There were no significant differences in the one-time stone clearance rate,intraoperative blood loss,operative time and hospital stay between the two groups(P>0.05).After 1 days of operation,the cortisol levels in the observation group were(223.26±22.49)ng/mL and the adrenocorticotrophin levels in the observation group were(20.51±2.03)pmol/L,which were lower than(249.73±25.32)ng/mL and(25.67±2.78)pmol/L in the control group,and the differences between groups were statistically significant(P<0.05).The incidence of complications in the observation group was 4.88%,which was lower than 19.51%in the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with URSL,FURL causes less stress reaction and fewer complications,which is helpful to the postoperative prognosis of patients with ureteral calculi complicated with hydronephrosis,and has certain application value,which is worthy of clinical application.
作者
代鹏
DAI Peng(Department of Urology,Yicheng District People's Hospital of Zaozhuang City,Zaozhuang 277300,China)
出处
《反射疗法与康复医学》
2024年第18期191-194,共4页
Reflexology And Rehabilitation Medicine
关键词
输尿管结石
肾积水
应激反应
并发症
Ureteral calculi
Hydronephrosis
Stress response
Complication
