首页|电子输尿管软镜钬激光碎石治疗上尿路结石的临床效果分析

电子输尿管软镜钬激光碎石治疗上尿路结石的临床效果分析

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目的 研究上尿路结石(Upper Urinary Tract Stones,UUTS)患者行电子输尿管软镜钬激光碎石术(Ret-rograde Intrarenal Surgery,RIRS)的效果.方法 单纯随机选取2017年6月—2022年12月新沂市中医医院收治的80例UUTS患者为研究对象,以随机数表法分为对照组(40例,经皮肾镜碎石术治疗)和观察组(40例,RIRS治疗).比较两组围术期指标、结石清除率及并发症发生率.结果 观察组术中出血量[(9.22±1.12)mL]、C反应蛋白升高水平[(10.17±2.57)mg/L],均较对照组的(17.33±3.36)mL、(15.12±3.26)mg/L低,手术时间为(68.71±5.42)min,长于对照组的(55.16±5.12)min,术后下床时间[(13.86±2.21)h]、住院时间[(5.26±0.82)d],均短于对照组的(24.05±4.35)h、(8.51±1.97)d,差异有统计学意义(t=14.482、7.542、11.494、13.209、9.633,P均<0.05).两组术后3、30、90 d的结石清除率相比,差异无统计意义(P均>0.05).观察组并发症总发生率(5.00%)较对照组(20.00%)低,差异有统计学意义(χ2=4.114,P<0.05).结论 UUTS患者行RIRS治疗,可减少出血量,且并发症少,患者恢复时间较快.
Clinical Effect of Electronic Retrograde Intrarenal Surgery for Upper Uri-nary Tract Stones
Objective To study the effect of electronic retrograde intrarenal surgery(RIRS)in patients with upper uri-nary tract stones(UUTS).Methods A total of eighty UUTS patients treated in Xinyi Hospital of Traditional Chinese Medicine from June 2017 to December 2022 were randomly selected as the study objects and were divided into con-trol group(40 cases treated by percutaneous nephrolithotripsy)and observation group(40 cases treated by RIRS)ac-cording to random number table.Perioperative indexes,stone clearance rate and incidence of complications were com-pared between the two groups.Results The intraoperative blood loss in the observation group was(9.22±1.12)mL and the elevated level of C-reactive protein was(10.17±2.57)mg/L,which were lower than those in the control group[(17.33±3.36)mL and(15.12±3.26)mg/L],the operation time was(68.71±5.42)min,which was longer than that of the control group[(55.16±5.12)min],the duration of getting out of bed after surgery was(13.86±2.21)h and the duration of hospitalization was(5.26±0.82)d,which were shorter than that of the control group[(24.05±4.35)h and(8.51±1.97)d],and the differences were significantly significant(t=14.482,7.542,11.494,13.209,9.633,all P<0.05).There was no statistical difference in the stone clearance rate at 3,30 and 90 d between the two groups(all P>0.05).The complica-tion rate of observation group(5.00%)was lower than that of control group(20.00%),and the difference was signifi-cantly significant(χ2=4.114,P<0.05).Conclusion UUTS patients receiving RIRS treatment can reduce the amount of blood loss,and the complications are less,and the patients recover time faster.

Upper urinary tract stonesElectronic retrograde intrarenal surgeryComplication

王鑫刚、夏秋双、姬蒙

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新沂市中医医院泌尿外科,江苏新沂 221400

上尿路结石 电子输尿管软镜钬激光碎石术 并发症

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(7)
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