输尿管软镜碎石术联合可弯曲负压吸引鞘治疗肾结石的临床效果OA
Clinical Efficacy of Flexible Ureteroscopic Lithotripsy Combined with Flexible Negative Pressure Suction Sheath for Renal Calculi
目的:探讨肾结石患者予以输尿管软镜碎石术、可弯曲负压吸引鞘联合治疗的临床效果.方法:2023 年 1 月—2024 年 12 月,选取高安市人民医院收治的 100 例肾结石患者,按随机数字表法分为两组,各 50 例.对照组行输尿管软镜碎石术,观察组在对照组基础上联合可弯曲负压吸引鞘治疗.比较两组围手术期指标、肾功能、炎症因子水平,评估并比较两组术后疼痛程度,统计并比较两组结石清除率与并发症发生率.结果:观察组术中出血量少于对照组,手术时间、术后双 J 管放置时间短于对照组(P<0.05);观察组结石清除率高于对照组,并发症发生率低于对照组(P<0.05);与对照组比较,观察组术后 6、24、48 h 的 VAS 评分更低(P<0.05);两组术前、术后 1 周的 Scr、BUN 比较,差异无统计学意义(P>0.05);观察组术后 24 h的降钙素原(PCT)、WBC、CRP低于对照组(P<0.05).结论:肾结石患者予以输尿管软镜碎石术、可弯曲负压吸引鞘联合治疗可有效减少术中出血量,缩短手术时间与术后置管时间,减轻术后疼痛及炎症反应,提高结石清除率,减少并发症,且不会影响肾功能.
Objective:To investigate the clinical efficacy of the combination therapy of flexible ureteroscopic lithotripsy and flexible negative pressure suction sheath for renal calculi.Method:From January 2023 to December 2024,100 cases of renal calculi who treated in Gao'an People's Hospital were selected and divided into two groups with random number table method,with 50 cases in each group.The control group were provided with flexible ureteroscopic lithotripsy,and on this basis,the observation group additionally took flexible negative pressure suction sheath on the basis of the control group.The comparisons were performed on perioperative indicators,renal function,levels of inflammatory factors in both groups.The two groups were evaluated and compared in terms of postoperative pain degree.The stone clearance rate and incidence of complications were statistically analyzed and compared in both groups.Result:The observation group had less intraoperative blood loss,shorter operation time and postoperative double-J stent placement time than those of the control group(P<0.05).The observation group obtained higher stone clearance rate and lower incidence of complications compared with those of the control group(P<0.05).The observation group demonstrated lower postoperative 6,24 and 48 h VAS scores than those of the control group(P<0.05).There were no statistically significant differences in Scr and BUN between the two groups before the operation and one week after the operation(P>0.05).The observation group achieved lower postoperative 24 h procalcitonin(PCT),WBC and CRP than those of the control group(P<0.05).Conclusion:The treatment of flexible ureteroscopic lithotripsy combined with flexible negative pressure suction sheath for patients with renal calculi can reduce intraoperative blood loss,shorten the operation time and postoperative catheterization time,alleviate postoperative pain and inflammatory responses,improve the stone clearance rate,reduce the incidence of complications,and does not affect renal function.
姚伟;邓必
高安市人民医院泌尿外科 江西 高安 330800高安市人民医院泌尿外科 江西 高安 330800
肾结石输尿管软镜碎石术可弯曲负压吸引鞘围手术期指标疼痛程度肾功能炎症因子
Renal calculiFlexible ureteroscopic lithotripsyFlexible negative pressure suction sheathPerioperative indicatorsPain degreeRenal function Inflammatory factors
《中国医学创新》 2026 (7)
29-33,5
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