首页|输尿管软镜与经皮肾镜治疗肾结石临床疗效对比研究

输尿管软镜与经皮肾镜治疗肾结石临床疗效对比研究

Comparative Study on the Clinical Efficacy of Ureteroscopic and Percutaneous Nephroscope in the Treatment of Renal Calculi

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目的:对比研究输尿管软镜与经皮肾镜治疗肾结石的临床疗效.方法:选取天津北大医疗海洋石油医院接收的64例肾结石患者开展研究,对照组采用经皮肾镜取石术进行治疗,观察组采用输尿管软镜碎石术进行治疗,观察手术指标、肾结石清除效果、肾功能指标和手术并发症.结果:观察组手术时间、下床时间、住院时间均显著短于对照组(P<0.05),观察组术后视觉模拟评分法评分显著小于对照组(P<0.05).观察组肾盂结石清除率显著高于对照组(P>0.05),下盏结石清除率显著低于对照组(P<0.05),两组肾结石总清除率差异无统计学意义(P>0.05).观察组小结石清除率显著高于对照组(P<0.05).治疗后观察组血清胱抑素C、尿肾损伤因子和血肌酐均显著低于对照组(P<0.05).两组手术并发症发生率差异无统计学意义(P>0.05).结论:输尿管软镜碎石术在肾盂结石和小结石清除方面更具优势,对患者肾功能损伤小.
Objective:To compare the clinical effects of ureteroscopic and percutaneous nephroscope in the treatment of renal calculi.Methods:A total of 64 patients with kidney stones were selected from PKU Care CNOOC Hospital,Tianjin to carry out the study.The control group was treated with percutaneous nephrolithotomy,and the observation group was treated with ureteroscopic lithotripsy.The operative indexes,the effect of renal stone removal,renal function indexes and operative complications were observed.Results:The time of operation,time of getting out of bed and time of hospitalization in the observation group were significantly shorter than those in the control group(P<0.05),and the VAS score was significantly lower than that in the control group(P<0.05).The clearance rate of renal pelvis stones in the observation group was significantly higher than that in the control group(P>0.05),and the clearance rate of lower calyx stones was significantly lower than that in the control group(P<0.05).There was no significant difference in the total clearance rate of renal stones between the two groups(P>0.05).The clearance rate of small stones in the observation group was significantly higher than that in the control group(P<0.05).After treatment,the levels of serum cystatin C,urinary kidney injury factor and blood muscle liver in the observation group were significantly lower than those in the control group(P<0.05).There was no significant difference in the incidence of surgical complications between the two groups(P>0.05).Conclusion:Ureteroscopic lithotripsy has more advantages in the removal of renal pelvis stones and small stones,with less damage to patients'renal function.

flexible ureteroscopepercutaneous nephroscoperenal calculusclinical efficacy

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天津北大医疗海洋石油医院(天津 300450)

输尿管软镜 经皮肾镜 肾结石 临床疗效

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(1)
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