经皮肾镜与输尿管软镜对输尿管结石术后炎症因子及临床疗效的分析  

Analysis of Percutaneous Nephroscope and Flexible Ureteroscopy on Inflammatory Factors and Clinical Efficacy After Ureter Stone Surgery

作　　者：时适[1] 张国伟[1] 侯继开 郭超[1] 王颖[1] SHI Shi;ZHANG Guo-wei;HOU Ji-kai;GUO Chao;WANG Ying(Department of Urology,Qiqihar First Hospital,Qiqihar,Heilongjiang Province,161000 China)

机构地区：[1]齐齐哈尔市第一医院泌尿外科,黑龙江齐齐哈尔161000

出　　处：《世界复合医学》2021年第3期133-135,共3页World Journal of Complex Medicine

摘　　要：目的探讨经皮肾镜与输尿管软镜对输尿管结石患者的治疗效果。方法采用该院2017年1月—2019年10月接收的80例输尿管结石患者作为研究对象,按照抽签法将患者划为对照组(40例)和研究组(40例),对照组患者使用微创经皮肾镜进行治疗,研究组使用输尿管软镜下钬激光碎石治疗,观察并对比两组患者临床疗效。结果研究组一次性碎石清除率为95.0%,其数据均优于对照组,差异有统计学意义(χ^(2)=5.165,P<0.05);研究组IL-6、IL-10、TNF-α分别为(1.03±0.28)ng/mL、(7.89±1.64)ng/mL、(5.03±1.02)μg/mL,均优于对照组,差异有统计学意义(t=8.073、14.547、11.704,P<0.05)。结论为输尿管结石患者使用输尿管镜进行治疗,效果显著,可以改善患者炎症因子水平,降低并发症发生率。Objective To investigate the therapeutic effect of percutaneous nephroscope and flexible ureteroscope on patients with ureteral calculi.Methods 80 patients with ureteral calculi received in the hospital from January 2017 to October 2019 were used as the research objects,and the patients were divided into the control group(40 cases)and the study group(40 cases)according to the lottery method,and the control group patients were used minimally invasive percutaneous nephroscope treatment;the study group used holmium laser lithotripsy under flexible ureteroscope to observe and compare the clinical efficacy of the two groups.Results The one-time lithotripsy clearance rate of the study group was 95.0%,and the data were better than those of the control group,the difference was statistically significant(χ^(2)=5.165,P<0.05);the study group's IL-6,IL-10,and TNF-α were respectively(1.03±0.28)ng/mL,(7.89±1.64)ng/mL,(5.03±1.02)μg/mL,better than those of the control group,the difference was statistically significant(t=8.073,14.547,11.704,P<0.05).Conclusion The use of ureteroscope for the treatment of patients with ureteral stones has a significant effect,which can improve the level of inflammatory factors in patients and reduce the incidence of complications.

关 键 词：经皮肾镜 输尿管软镜 输尿管结石 炎症因子 疗效 

分 类 号：R4[医药卫生—临床医学]