首页|比较输尿管软镜碎石和经皮肾镜碎石治疗直径3cm以下肾结石的疗效

比较输尿管软镜碎石和经皮肾镜碎石治疗直径3cm以下肾结石的疗效

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目的 分析输尿管软镜碎石治疗直径<3 cm肾结石的价值.方法 方便选择太仓市中医医院于2019年1月—2023年12月收治的245例肾结石患者为研究对象,随机数字表法分为两组,研究组123例,行输尿管软镜碎石,对照组122例,采取经皮肾镜碎石,对比两组的手术指标、炎症因子水平、肾功能指标及生活质量评分.结果 研究组的术中出血量为(9.28±2.36)mL,手术时间为(103.67±9.26)min,住院时间为(4.15±1.24)d,优于对照组,差异有统计学意义(t=43.020、16.792、11.947,P均<0.05).术后,研究组的炎症因子水平低于对照组,肾功能水平优于对照组,差异有统计学意义(P均<0.05).研究组的生活质量评分高于对照组,差异有统计学意义(P<0.05).结论 输尿管软镜碎石治疗直径3 cm以下肾结石,能够降低手术对机体创伤,缓解炎症反应,促进肾功能恢复,提高生活质量.
Comparison of the Efficacy of Flexible Ureteroscopic Lithotripsy and Per-cutaneous Nephrolithotomy in the Treatment of Renal Calculi Less than 3 cm in Diameter
Objective To analyze the value of flexible ureteroscopic lithotripsy in the treatment of renal calculi less than 3 cm in diameter.Methods A total of 245 patients with renal calculi admitted to Taicang Hospital of Traditional Chinese Medicine from January 2019 to December 2023 were conveniently selected as the research objects.They were divided into two groups by random number table method.123 cases in the study group were treated with flexible ure-teroscopic lithotripsy,and 122 cases in the control group were treated with percutaneous nephrolithotomy.The surgi-cal indexes,inflammatory factor levels,renal function indexes and quality of life scores of the two groups were com-pared.Results The intraoperative blood loss of the study group was(9.28±2.36)mL,the operation time was(103.67±9.26)min,and the hospitalization time was(4.15±1.24)d,which were better than those of the control group,the differ-ences were statistically significant(t=43.020,16.792,11.947,all P<0.05).After operation,the level of inflammatory factors in the study group was lower than that in the control group,the level of renal function was better than that in the control group,the differences were statistically significant(both P<0.05),and the quality of life score in the study group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion Flex-ible ureteroscopic lithotripsy for renal calculi below 3 cm in diameter can reduce the trauma of surgery to the body,al-leviate the inflammatory response,promote the recovery of renal function and improve the quality of life.

UreteroscopyPercutaneous nephroscopyRenal calculiInflammatory factorsRenal function

钱卫锋、高璐珏、管鹏飞、周俊、计龙晓

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太仓市中医医院泌尿外科,江苏 太仓 215400

输尿管软镜 经皮肾镜 肾结石 炎症因子 肾功能

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(19)
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