摘要
目的分析予以上尿路结石患者输尿管软镜钬激光碎石术治疗的临床效果及安全性。方法选择2017年2月—2021年5月在该院接受治疗的60例上尿路结石患者为研究对象,依据随机数字表法分为对照组(行经皮肾镜气压弹道碎石术),观察组(行输尿管软镜钬激光碎石术),各30例。对比不同治疗术式下两组围术期指标、结石清除率、并发症发生率。结果两组手术用时比较,差异无统计学意义(t=1.546,P>0.05);观察组术中出血量、术后CRP升高量及住院时间为(17.64±3.78)mL、(10.26±2.78)mg/L、(4.23±0.67)d,优于对照组的(38.71±5.20)mL、(15.11±3.20)mg/L、(6.21±0.64)d,差异有统计学意义(t=17.952、6.267、11.705,P<0.05)。术后3 d,观察组结石清除率为86.67%,高于对照组的63.33%,差异有统计学意义(χ^(2)=4.356,P<0.05);术后30、90 d,观察组结石清除率为96.67%、100.00%,略高于对照组的83.33%、93.33%,但差异无统计学意义(χ^(2)=1.667、0.517,P>0.05)。并发症发生率对比,观察组为6.67%,低于对照组的26.67%,差异有统计学意义(χ^(2)=4.320,P<0.05)。结论予以上尿路结石患者输尿管软镜碎石术治疗效果显著,术中出血量少,机体损伤程度轻,预后恢复快,并发症少,值得推广。
Objective To analyze the clinical effect and safety of flexible ureteroscopic lithotripsy for patients with upper urinary tract calculi.Methods 60 patients with upper urinary tract calculi who were treated in the hospital from February 2017 to May 2021 were selected as the research subjects.According to the random number table method,they were divided into control group(percutaneous nephroscopic pneumatic lithotripsy)and observation group(percutaneous flexible ureteroscope holmium laser lithotripsy),30 cases in each groups.The perioperative indicators,stone clearance rate and complication rate were compared between the two groups under different treatment methods.Results There was no significant difference in operation time between the two groups(t=1.546,P>0.05).The intraoperative blood loss,postoperative CRP increase and hospital stay in the observation group were(17.64±3.78)mL,(10.26±2.78)mg/L,and(4.23±0.67)d,better than the control group(38.71±5.20)mL,(15.11±3.20)mg/L,(6.21±0.64)d,the difference was statistically significant(t=17.952,6.267,11.705,P<0.05).Postoperative 3 d,the stone clearance rate of the observation group was 86.67%,which was higher than that of the control group,63.33%,the difference was statistically significant(χ^(2)=4.356,P<0.05).At 30 d and 90 d after operation,the stone clearance rates of the observation group were 96.67%and 100.00%,slightly higher than those of the control group,83.33%and 93.33%,but the difference was not statistically significant(χ^(2)=1.667,0.517,P>0.05).The incidence of complications in the observation group was 6.67%,which was lower than 26.67%in the control group,the difference was statistically significant(χ^(2)=4.320,P<0.05).Conclusion Flexible ureteroscopic lithotripsy is effective in patients with upper urinary tract calculi,with less intraoperative blood loss,less damage to the body,quicker prognosis and fewer complications,which is worthy of promotion.
作者
辛昂
XIN Ang(Department of Urology,Xinyi Hospital of Traditional Chinese Medicine,Xinyi,Jiangsu Province,221400 China)
出处
《系统医学》
2022年第6期122-125,共4页
Systems Medicine
关键词
上尿路结石
输尿管软镜钬激光碎石术
临床效果
并发症
Upper urinary tract calculi
Ureteroscopic holmium laser lithotripsy
Clinical effect
Complications
