[1]黄晓晖.输尿管软镜碎石术治疗上尿路结石的临床疗效及安全性分析[J].医学信息,2024,37(23):74-77.[doi:10.3969/j.issn.1006-1959.2024.23.017]
　HUANG Xiaohui.Analysis of the Clinical Efficacy and Safety of Flexible Ureteroscopic Lithotripsy in the Treatment of Upper Urinary Tract Calculi[J].Journal of Medical Information,2024,37(23):74-77.[doi:10.3969/j.issn.1006-1959.2024.23.017]
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输尿管软镜碎石术治疗上尿路结石的临床疗效及安全性分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年23期
页码:
74-77
栏目:
论著
出版日期:
2024-12-01

文章信息/Info

Title:
Analysis of the Clinical Efficacy and Safety of Flexible Ureteroscopic Lithotripsy in the Treatment of Upper Urinary Tract Calculi
文章编号:
1006-1959（2024）23-0074-04
作者:
黄晓晖
南城县人民医院外一科，江西 南城 344700
Author(s):
HUANG Xiaohui
The First Department of Surgery,Nancheng County People’s Hospital,Nancheng 344700,Jiangxi,China
关键词:
输尿管软镜碎石术; 上尿路结石; 肾功能
Keywords:
Flexible ureteroscopic lithotripsy; Upper urinary tract calculi; Renal function
分类号:
R691.4
DOI:
10.3969/j.issn.1006-1959.2024.23.017
文献标志码:
A
摘要:
目的 研究输尿管软镜碎石术治疗上尿路结石的临床疗效及安全性。方法 选取2022年1月-2023年10月我院诊治的46例上尿路结石患者为研究对象，采用随机数字表法分为对照组和观察组，各组23例。对照组采用经皮肾镜取石术治疗，观察组采用输尿管软镜碎石术治疗，比较两组结石清除率、并发症发生率、临床手术指标、疼痛（VAS）评分、肾功能指标。结果 观察组结石直径＜2 cm清除率高于对照组，结石直径≥2 cm清除率低于对照组（P＜0.05）；观察组并发症发生率为8.70%，低于对照组的21.74%（P＜0.05）；观察组手术时间长于对照组、术中出血量少于对照组、住院时间短于对照组（P＜0.05）；观察组术后24、72 h的VAS评分均低于对照组（P＜0.05）；观察组术后Scr、血红蛋白、尿素氮均优于对照组（P＜0.05）。结论 输尿管软镜碎石术可有效提升上尿路结石患者的结石清除率，降低术后并发症发生率，且具有对肾功能影响小、术中出血量少、疼痛程度轻的优势。
Abstract:
Objective To study the clinical efficacy and safety of flexible ureteroscopic lithotripsy in the treatment of upper urinary tract calculi.Methods A total of 46 patients with upper urinary tract calculi diagnosed and treated in our hospital from January 2022 to October 2023 were selected as the research objects. They were divided into control group and observation group by random number table method, with 23 patients in each group. The control group was treated with percutaneous nephrolithotomy, and the observation group was treated with flexible ureteroscopic lithotripsy. The stone clearance rate, complication rate, clinical operation index, pain (VAS) score and renal function index were compared between the two groups.Results The stone diameter <2 cm clearance rate in the observation group were higher than those in the control group, and the stone diameter ≥2 cm clearance rate was lower than that in the control group (P<0.05). The incidence of complications in the observation group was 8.70%, which was lower than 21.74% in the control group (P<0.05). The operation time of the observation group was longer than that of the control group, the intraoperative blood loss was less than that of the control group, and the hospitalization time was shorter than that of the control group (P<0.05). The VAS score of the observation group at 24 and 72 h after operation was lower than that of the control group (P<0.05). The postoperative Scr, hemoglobin and urea nitrogen in the observation group were better than those in the control group (P<0.05).Conclusion Flexible ureteroscopic lithotripsy can effectively improve the stone clearance rate of patients with upper urinary tract stones and reduce the incidence of postoperative complications. It has the advantages of less impact on renal function, less intraoperative blood loss and less pain.

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更新日期/Last Update: 1900-01-01