中华全科医学2024,Vol.22Issue(4) :622-624,641.DOI:10.16766/j.cnki.issn.1674-4152.003465

输尿管软镜联合负压吸引鞘术后无管化对上尿路结石患者应激及炎症反应的影响

Effects of tubeless management following ureteroscopy combined with negative pressure suction sheath on stress and inflammation in patient with upper urinary tract calculi

郑枫 田文俊
中华全科医学2024,Vol.22Issue(4) :622-624,641.DOI:10.16766/j.cnki.issn.1674-4152.003465

输尿管软镜联合负压吸引鞘术后无管化对上尿路结石患者应激及炎症反应的影响

Effects of tubeless management following ureteroscopy combined with negative pressure suction sheath on stress and inflammation in patient with upper urinary tract calculi

郑枫 1田文俊1
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作者信息

  • 1. 浦江县人民医院泌尿外科,浙江金华 322200
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摘要

目的 分析输尿管软镜联合负压吸引鞘术后无管化对上尿路结石患者应激及炎症反应的影响,为临床上尿路结石患者术后无管化应用提供参考依据.方法 选取浦江县人民医院泌尿外科2022年7月-2023年7月收治的上尿路结石患者98例为研究对象,并以术后是否进行无管化处置将研究对象分为对照组(47例)和观察组(51例).观察比较2组患者术后结石清除率及并发症发生情况,检测并比较2组患者应激、炎性指标水平.结果 与对照组比较,无管化处置患者术后结石清除率无明显变化[95.7%(45/47)vs.96.1%(49/51),P>0.05].2组患者术前应激反应指标差异均无统计学意义(P>0.05),术后,观察组患者应激反应指标均低于对照组(P<0.001).2组患者术前炎性反应指标差异均无统计学意义(P>0.05),术后,观察组患者炎性反应指标均低于对照组(P<0.001).2组患者术后并发症发生情况比较,观察组患者较对照组术后并发症发生情况明显改善(P<0.01).结论 输尿管软镜联合负压吸引鞘术后无管化可以减轻上尿路结石患者的应激和炎性反应,减少术后并发症,值得临床推广应用.

Abstract

Objective This study aims to analyze the effects of tubeless management following ureteroscopy combined with negative pressure suction sheath on stress and inflammation in patients with upper urinary tract calculi,proving valu-able insights for the clinical application of tubeless management in patients with urinary tract calculi.Methods A total of 98 patients with upper urinary tract calculi admitted to the Department of Urology of Pujiang People's Hospital from July 2022 to July 2023 were selected.They were divided into two groups based on whether tubeless treatment was per-formed after surgery:the control group(47 cases)and the observation group(51 cases).Stone clearance rate,compli-cations,as well as stress and inflammatory indexes were observed,compared,and analyzed between the two groups.Re-sults No significant difference was found in postoperative stone clearance between the patients with tubeless treatment compared to the control group[95.7%(45/47)vs.96.1%(49/51),P>0.05].Preoperative stress response indexes showed no significant difference between the two groups(P>0.05).However,after surgery,the patients with tubeless treatment exhibited lower stress levels compared to the control group(P<0.001).Similarly,there was no significant difference in preoperative inflammatory response indicators between the two groups(P>0.05),but the observation group showed lower inflammation levels than the control group after surgery(P<0.001).Furthermore,postoperative complica-tions were compared between the two groups,and the patients with tubeless treatment demonstrated significantly improved outcomes compared to the control group(P<0.01).Conclusion Tubeless management following ureteroscopy combined with negative pressure suction sheath can effectively alleviate the stress,inflammation,and postoperative complications in patients with upper urinary tract stones,making it a valuable clinical approach.

关键词

输尿管软镜/负压吸引鞘术/无管化/上尿路结石/炎症反应

Key words

Ureteroscope/Negative pressure suction sheath/Tubeless/Upper urinary tract calculi/Inflammatory re-sponse

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基金项目

浙江省医药卫生科技计划(2023XY070)

出版年

2024
中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
参考文献量21
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