后腹腔镜肾窦内肾盂切开取石术与经皮肾镜碎石取石术的术后创伤程度对比  

Comparison of Postoperative Trauma Degree Between Retroperitoneal Laparoscopic Intrasinal Pyelolithotomy and Percutaneous Nephrolithotomy

作　　者：伍星海 WU Xing-hai(Urology Department of Jinzhou Central Hospital,Liaoning Jinzhou 121000)

机构地区：[1]锦州市中心医院泌尿外科,辽宁锦州121000

出　　处：《中国医疗器械信息》2020年第4期83-84,共2页China Medical Device Information

摘　　要：目的:探讨后腹腔镜肾窦内肾盂切开取石术与经皮肾镜碎石术的术后创伤程度。方法:临床资料源自本院2017年1月~2018年12月收治的肾盂结石患者80例,随机将80例患者分成两组,对照组40例患者采用经皮肾镜碎石术治疗,观察组40例患者采用后腹腔镜肾窦内肾盂切开取石术治疗,比较两组患者术前、术后3d、7d的白介素-6(IL-6)、超敏反应蛋白(hs-CRP)以及肿瘤坏死因子(TNF-α)和唾液皮质醇、去甲肾上腺素。结果:术后观察组患者的血清炎症指标相较于对照组低,术后3~7d的唾液皮质醇、去甲肾上腺素相较于对照组更低,P<0.05。结论:后腹腔镜肾窦内肾盂切开取石术对机体造成的创伤程度比经皮肾镜碎石取石术的更小。Objective:To investigate the degree of postoperative trauma in retroperitoneal laparoscopic intrasinal pyelolithotomy and percutaneous nephrolithotomy.Methods:The clinical data from our hospital in January 2017~December 2018 treated 80 cases of patients with pelvic stones,into two groups randomly,80 cases of object,the control group 40 cases were treated by percutaneous nephroscope lithotripsy treatment,observation group 40 cases were treated by laparoscopic renal sinus after the cut stone extraction for treatment of the renal pelvis,preoperative and postoperative compare two groups of objects in 3d,7d of interleukin 6(IL-6),allergic reaction protein(hs-CRP)and tumor necrosis factor(TNF alpha)and salivary cortisol and noradrenaline.Results:Compared with the control group,the serum inflammatory index of the observation group was lower,and the salivary cortisol and norepinephrine were lower 3d-7d after the operation than the control group(P<0.05).Conclusion:Retroperitoneal laparoscopic intrasinal pyelolithotomy is less invasive than percutaneous nephrolithotomy.

关 键 词：肾结石 后腹腔镜肾窦内肾盂切开取石术 经皮肾镜碎石取石术 创伤程度 

分 类 号：R699.2[医药卫生—泌尿科学]