首页|经皮肾镜与输尿管软镜治疗肾结石效果及对患者肾功能的影响

经皮肾镜与输尿管软镜治疗肾结石效果及对患者肾功能的影响

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目的:研究经皮肾镜联合输尿管软镜治疗肾结石的效果及对患者肾功能的影响.方法:将48例肾结石患者应用随机数字表法分为研究组和对照组,分别给予输尿管软镜碎石术和经皮肾镜碎石术进行治疗,观察两组手术情况、术后恢复情况、肾功能和并发症.结果:两组手术时间和一期手术结石清除率差异无统计学意义(P>0.05),研究组术中出血量和血红蛋白下降值均显著小于对照组(P<0.05).研究组术后下床时间、住院时间和术后1d VAS评分均显著优于对照组(P<0.05).治疗前两组各项肾功能指标差异均无统计学意义(P>0.05),治疗后研究组Scr、BUN和BUA均显著低于对照组(P<0.05).两组并发症发生率差异无统计学意义(P>0.05).结论:经皮肾镜与输尿管软镜治疗肾结石均具有良好效果和安全性,相对来说输尿管软镜碎石术对患者机体损伤和肾功能损伤更小,有助于患者术后早日康复.
Effect of Percutaneous Nephroscope and Flexible Ureteroscope in the Treatment of Kidney Stone Disease and Its Influence on Renal Function
Objective:To study the effect of percutaneous nephroscope combined with flexible ureteroscope in the treatment of Kidney stone disease and its influence on renal function.Methods:48 patients with Kidney stone disease were randomly divided into the study group and the control group.They were treated with ureteroscopic lithotripsy and percutaneous nephrolithotripsy,respectively.Observe the surgical situation,postoperative recovery,renal function,and complications in both groups.Results:There was no statistically significant difference in surgical time and stone clearance rate between the two groups(P>0.05).The intraoperative blood loss and hemoglobin decrease in the study group were significantly lower than those in the control group(P<0.05).The study group showed significantly better postoperative bedtime,hospital stay,and 1-day VAS scores than the control group(P<0.05).There was no statistically significant difference in various renal function indicators between the two groups before treatment(P>0.05).After treatment,the Scr,BUN,and BUA in the study group were significantly lower than those in the control group(P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:Percutaneous nephroscope and flexible ureteroscope are both effective and safe in the treatment of Kidney stone disease.Relatively speaking,flexible ureteroscope lithotripsy is less harmful to patients'body and renal function,which helps patients recover early after surgery.

percutaneous nephroscopyureteroscopekidney stone diseaseefficacyrenal function

王振蓉

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天津市中医药研究院附属河西区中医医院 (天津 300041)

经皮肾镜 输尿管软镜 肾结石 疗效 肾功能

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(6)
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