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