分析肾结石合并输尿管结石患者的微创伤治疗方案的临床疗效  

Analyze the Clinical Effect of Minimally Invasive Treatment for Renal Calculi Combined with Ureteral Calculi

作　　者：高健 GAO Jian(Urology Surgery,Yutai County People's Hospital,Yutai,Shandong 272300)

机构地区：[1]山东省济宁市鱼台县人民医院泌尿外科,山东鱼台272300

出　　处：《智慧健康》2021年第13期73-75,共3页Smart Healthcare

摘　　要：目的分析在肾结石合并输尿管结石患者的临床治疗中采取不同的微创伤治疗方案进行治疗的具体疗效。方法择取在我院实施手术治疗的肾结石合并输尿管结石患者100例出来展开研究,根据不同的手术治疗方案将100例患者均分成两组,将实施标准通道经皮肾镜取石术治疗的患者归为对照组(50例),将实施微通道经皮肾镜取石术治疗的患者归为观察组(50例),观察通过不同微创治疗方案进行治疗后,患者的病情治疗效果。结果观察组患者的手术用时相较于对照组较长,术中出血量相较于对照组患者更少,且卧床时间与住院天数相较于对照组较短,两组比较差异较大(P<0.05);观察组患者治疗后的血清CRP(C反应蛋白)、IL-6(白介素-6)、血肌酐、尿素氮水平明显下降,且相较于对照组更低,两组比较差异较大(P<0.05);观察组并发症发生率相较于对照组更低,两组比较差异较大(P<0.05)。结论在肾结石合并输尿管结石患者的临床治疗中实施微通道经皮肾镜取石术治疗,效果满意。Objective To analyze the clinical efficacy of different minimally invasive treatment schemes in the treatment of patients with renal calculi and ureteral calculi.Methods One hundred cases of patients with renal calculi and ureteral calculi who were treated in our hospital were selected and divided into two groups according to different surgical treatment schemes.The patients who were treated with standard channel percutaneous nephrolithotomy were divided into control group(50 cases),and the patients who were treated with micro channel percutaneous nephrolithotomy were divided into observation group(50 cases),through different minimally invasive treatment programs,the patient’s condition treatment effect is improved.Results The operation time of the observation group was longer than that of the control group,the intraoperative blood loss was less than that of the control group,and the bed rest time and hospitalization days were shorter than those of the control group,the difference between the two groups was significant(P<0.05).The serum CRP(C-reactive protein),IL-6(interleukin-6),serum creatinine and urea nitrogen levels of the observation group after treatment were significantly lower than those of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion In the clinical treatment of patients with renal calculi and ureteral calculi,the effect of micro channel percutaneous nephrolithotomy is satisfactory.

关 键 词：肾结石合并输尿管结石 微创伤治疗方案 临床疗效 

分 类 号：R699[医药卫生—泌尿科学]