首页|输尿管软镜与经皮肾镜治疗肾结石临床效果比较分析

输尿管软镜与经皮肾镜治疗肾结石临床效果比较分析

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目的:比较输尿管软镜与经皮肾镜治疗肾结石的临床效果.方法:回顾分析本院2022年1月~2023年12月收治的60例肾结石患者,根据手术方式的不同分为对照组与干预组各30例.对照组行经皮肾镜取石术,干预组行输尿管软镜取石术,对比临床效果.结果:①两组患者一次性结石清除率无明显差异(P>0.05);但干预组手术用时和住院天数缩短,术中出血量更少(P<0.05);②术前,患者血清CRP、IL-6和TNF-α水平无明显差异(P>0.05);术后3d各指标明显升高,且干预组测定值低于对照组(P<0.05);③干预组术后并发症发生率稍低于对照组,差异无统计学意义(P>0.05).结论:输尿管软镜与经皮肾镜治疗肾结石均是安全有效的方案,其中前者能加快术后恢复速度、减轻机体炎性反应.
Comparative Analysis of Clinical Effects Between Ureteroscopy and Percutaneous Nephroscopy in the Treatment of Kidney Stones
Objective:To compare the clinical efficacy of ureteroscopy and percutaneous nephroscopy in the treatment of kidney stones.Methods:A retrospective analysis was conducted on 60 patients with kidney stones admitted to our hospital from January 2022 to December 2023.According to the different surgical methods,they were divided into a control group and an intervention group,with 30 cases in each group.The control group underwent percutaneous nephrolithotomy,while the intervention group underwent ureteroscopic lithotomy.The clinical effects were compared.Results:① There was no significant difference in the one-time stone clearance rate between the two groups of patients(P>0.05);However,the intervention group had shorter surgical time and hospital stay,and less intraoperative bleeding(P<0.05).② Before surgery,the patient's serum CRP,IL-6,and TNF-α there was no significant difference in level(P>0.05);3 days after surgery,all indicators significantly increased,and the measured values in the intervention group were lower than those in the control group(P<0.05).③The postoperative complication rate in the intervention group was slightly lower than that in the control group,and was not statistically significant(P>0.05).Conclusion:Both ureteroscopy and percutaneous nephroscopy are safe and effective options for the treatment of kidney stones.The former can accelerate postoperative recovery and reduce inflammatory reactions in the body.

kidney stonespercutaneous nephroscopyureteroscopyinflammatory factorscomplications

陈仁虎、何昌有、汪振

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佛山市顺德区第五人民医院(佛山市顺德区龙江医院)泌尿外科 (广东 佛山 528000)

肾结石 经皮肾镜 输尿管软镜 炎性因子 并发症

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(16)