| 郑俊斌.超细肾镜碎石术(UMP)与输尿管软镜治疗肾结石的比较研究[J].浙江中西医结合杂志,2021,31(8): |
| 超细肾镜碎石术(UMP)与输尿管软镜治疗肾结石的比较研究 |
| Comparative study of ump and ureteroscopy for the treatment of kidney stones |
| 投稿时间：2020-09-08 修订日期：2021-06-13 |
| DOI： |
| 中文关键词: 超细经皮肾镜 肾结石 输尿管软镜 治疗效果 |
| 英文关键词: |
| 基金项目:玉环市科技局基金项目 |
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| 摘要点击次数: 419 |
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| 中文摘要: |
| 目的：探讨研究超细经皮肾镜(Ultra-mini PCNL,UMP)与输尿管软镜治疗肾结石的临床效果。方法：选取2017年8月至2019年8月在本院接受治疗的60例结石大小1.5cm-2.5cm肾结石患者为研究对象,随机分为对照组和研究组,各30例,对照组采取输尿管软镜治疗,研究组采取超细经皮肾镜治疗,记录患者姓名、年龄等一般资料,记录患者住院时间、手术出血量、结石清除率、手术时间,测定患者手术之前、手术后3天的血红蛋白、血肌酐水平,记录患者发热、创面感染、迟发性出血、尿瘘并发症发生情况,采用视觉模拟评分法评定患者手术之前、手术1天疼痛程度,并记录治疗效果。结果：研究组轻度疼痛患者占比显著大于对照组,中度疼痛、重度疼痛患者占比低于对照组,差异有统计学意义(P＜0.05)；研究组住院时间、手术时间、术中出血量均小于对照组,结石清除率93.33%,高于对照组结石清除率73.33%,差异有统计学意义(P＜0.05)；治疗前,两组患者血红蛋白、血肌酐差异无统计学意义(P＞0.05),治疗后,两组血红蛋白均降低,血肌酐均增加,差异有统计学意义(P＜0.05),治疗后研究组血红蛋白水平高于对照组,差异有统计学意义(P＜0.05)；研究组总有效率为93.33%,对照组总有效率为53.33%,差异有统计学意义(P＜0.05)；研究组并发症总发生率为13.33%,对照组并发症总发生率为30.00%,差异有统计学意义(P＜0.05)。结论：超细经皮肾镜与输尿管软镜相比,肾结石患者术后血红蛋白变化无统计学差别,降低住院时间和手术时间,降低患者疼痛感,改善患者肾脏功能,提高结石清除率和治疗效果。 |
| 英文摘要: |
| Objective: To explore the clinical effect of ultra-mini percutaneous nephroscope (Ultra-mini PCNL, UMP) and soft ureteroscopy in the treatment of kidney stones. Methods: Sixty patients with kidney stones who were treated in our hospital from August 2017 to August 2019 were selected as the research object, and were randomly divided into a control group and a research group, each with 30 cases. The control group received soft ureteroscopy, and the research group took ultrasonography Fine percutaneous nephroscopy treatment, record the patient"s name, age and other general information, record the patient"s hospital stay, surgical bleeding volume, stone clearance rate, operation time, determine the hemoglobin and blood creatinine levels before and 3 days after the operation, and record the patient Fever, wound infection, delayed bleeding, and urinary fistula complications occurred. Visual analog score was used to assess the patient"s pain level before surgery and 1 day after surgery, and the treatment effect was recorded.Results: The proportion of patients with mild pain in the study group was significantly larger than that in the control group, and the proportion of patients with moderate pain and severe pain was lower than that in the control group, the difference was statistically significant (P<0.05); hospital stay, surgery time, intraoperative bleeding in the research group Both were smaller than the control group, the stone removal rate was 93.33%, higher than the control group stone removal rate of 73.33%, the difference was statistically significant (P<0.05); before treatment, there was no statistically significant difference in hemoglobin and blood creatinine between the two groups (P>0.05), after treatment, both groups of hemoglobin decreased, blood creatinine increased, the difference was statistically significant (P<0.05), after treatment, the level of hemoglobin in the study group was higher than the control group, the difference was statistically significant (P<0.05); The total effective rate in the study group was 93.33%, the total effective rate in the control group was 53.33%, the difference was statistically significant (P<0.05); the total incidence of complications in the study group was 13.33%, and the total incidence of complications in the control group was 30.00% , The difference was statistically significant (P<0.05).Conclusion: Compared with soft ureteroscopy, ultra-fine percutaneous nephroscope can reduce intraoperative blood loss in patients with kidney stones, reduce hospitalization time and operation time, reduce patients" pain, improve patients" kidney function, improve stone clearance rate and treatment effect. |
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