Therapeutic Efficacy of Ureteral Flexible Scope and Percutaneous Nephro-lithotripsy in Renal Stones
Objective To analyze the effect of applying ureteral flexible scope and percutaneous nephrolithotripsy in the treatment of renal stones.Methods The clinical data of 200 patients with renal stone admitted to Nanjing Longpan Stone Hospital from June 2022 to June 2023 were analyzed retrospectively,and they were divided into two geoups with 100 cases in each group according to different surgical protocols.The control group underwent percutaneous nephroli-thotripsy and the study group underwent ureteral flexible scope lithotripsy,and the therapeutic effects and other re-lated indexes of the two groups were evaluated.Results There was no statistically significant difference between the two groups in stone removal rate(P>0.05).The intraoperative bleeding in the study group was less than that in the con-trol group,the operation time and hospitalization time were shorter than those in the control group,the differences were statistically significant(all P<0.05).The patients in the study group had lower pain visual analog scores and higher Brueggemann comfort scores than the control group at 4 h versus 2 d postoperatively,the differences were sta-tistically significant(both P<0.05).After 1 d of surgery,the levels of all stress indicators in the body were elevated pre-operatively,but were slightly lower in the study group than the control group,the differences were statistically signifi-cant(all P<0.05).After 1d of surgery,the level of neutrophil gelatinase-associated lipid transport protein was lower in the study group than taht in the control group,the difference was statistically significant(P<0.05),but the levels of urea nitrogen and blood creatinine have no statistically significant differences between the two groups(both P>0.05).The complication rate was 3.00%,which was lower than that in the study group(11.00%),the difference was statisti-cally significant(χ2=4.916,P<0.05).Conclusion In the treatment of kidney stones ureteral flexible mirror lithotripsy is more favorable than percutaneous nephrolithotripsy to improve the patient's comfort,the body stress reaction and postoperative pain is slight,and there are fewer complications,and the impact on renal function is small.
NETL
NSTL
万方数据
维普
