气压弹道碎石术和输尿管切开取石术治疗输尿管结石的临床效果比较  

Comparison of Clicinal Effects Between Pneumatic Lithotripsy and Ureterolithotomy in the Treatment of Ureteral Calculi

作　　者：吴德柱 李清林 林建峰 WU De-zhu;LI Qing-lin;LIN Jian-feng(The 900th Hospital of the PLA Joint Logistics Support Force Putian Medical District,Fujian Putian 351100)

机构地区：[1]解放军联勤保障部队第900医院莆田医疗区,福建莆田351100

出　　处：《深圳中西医结合杂志》2022年第3期25-28,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:比较经尿道输尿管镜气压弹道碎石术和后腹腔镜输尿管切开取石术治疗输尿管结石患者的疗效及对炎症因子水平的影响。方法:选取2018年1月至2021年1月期间于解放军联勤保障部队第900医院莆田医疗区诊治的输尿管结石患者93例,根据治疗方式的不同分为对照组和观察组。其中,对照组45例采用后腹腔镜输尿管切开取石术进行治疗,观察组48例采用经尿道输尿管镜气压弹道碎石术进行治疗,比较两组患者的手术时间、疼痛时间、住院时间、结石一次性清除率、并发症发生率和手术前后炎症因子水平〔肿瘤坏死因子–α(TNF–α)、白细胞介素–6(IL–6)、白细胞介素–10(IL–10)〕。结果:观察组手术时间、住院时间、疼痛时间均短于对照组,术后并发症总发生率和炎症因子水平均低于对照组,差异均具有统计学意义(P<0.05);两组患者结石一次性清除率比较,差异无统计学意义(P>0.05)。结论:与后腹腔镜输尿管切开取石术相比,经尿道输尿管镜气压弹道碎石术治疗输尿管结石手术用时较短,对患者身体创伤较小,并发症发生情况少,术后炎症反应轻微,更有助于患者康复。Objective To compare the efficacy of transurethral ureteroscopic pneumatic lithotripsy and retroperitoneal laparoscopic ureterolithotomy in the treatment of ureteral calculi and their influence on the levels of inflammatory factors.Methods A total of 93 patients with ureteral calculi treated in the 900th Hospital of the PLA Joint Logistics Support Force Putian Medical District from January 2018 to January 2021 were selected and divided into control group and observation group according to different treatment methods.Among them,45 patients in the control group were treated with retrolaparoscopic ureterolithotomy,and 48 patients in the observation group were treated with transurethral ureteroscopic pneumatic lithotriptomy.Operation time,pain time,length of hospital stay,one-time stone clearance rate,incidence of complications,and levels of inflammatory factors[tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),interleukin-10(IL-10)]before and after operation were compared between the two groups.Results The operation time,hospital stay and pain time in the observation group were shorter than those in the control group,and the total incidence of postoperative complications and inflammatory factor levels were lower than those in the control group,with statistical significance(P<0.05).There was no significant difference in the one-time stone clearance rate between the two groups(P>0.05).Conclusion Compared with retrolaparoscopic ureterolithotomy,transurethral ureteroscopic pneumatic lithotripsy for the treatment of ureteral calculi takes less time,has less physical trauma to patients,fewer complications,minor postoperative inflammation,and is more conducive to the recovery of patients.

关 键 词：输尿管结石 经尿道输尿管镜气压弹道碎石术 后腹腔镜输尿管切开取石术 

分 类 号：R693.4[医药卫生—泌尿科学]