输尿管支架在输尿管软镜治疗2~3cm肾结石的疗效及对术后排石、术后排尿症状评分的影响分析  

Efficacy of Ureteral Stent in the Treatment of 2-3 cm Kidney Stones with Flexible Ureteroscope and Its Influence on Postoperative Stone Removal and Postoperative Voiding Symptom Score

作　　者：潘中义 张世清 熊玉龙 PAN Zhongyi;ZHANG Shiqing;XIONG Yulong(Department of Urology,Liuhe District People's Hospital,Nanjing,Jiangsu Province,211500 China)

机构地区：[1]南京市六合区人民医院泌尿外科,江苏南京211500

出　　处：《世界复合医学》2022年第9期119-123,共5页World Journal of Complex Medicine

摘　　要：目的探析输尿管支架在输尿管软镜治疗2~3 cm肾结石的疗效及对术后排石、术后排尿症状评分的影响。方法选择2019年11月—2021年10月于南京市六合区人民医院就诊的78例输尿管软镜治疗患者,根据实施术式操作差异分为观察组(n=38)和对照组(n=40)。对照组留置传统输尿管支架联合膀胱镜拔除,观察组留置带线输尿管支架。术后1月对比两组术后排石率、相关并发症发生率、手术前后疼痛评分[视觉模拟评分法(VAS)]、术后排尿症状评分[膀胱过度活动症患者自评量表(OABSS)]。结果观察组排石率(97.37%)明显高于对照组(80.00%),而并发症发生率(2.63%)明显低于对照组(22.50%),差异有统计学意义(χ^(2)=4.183、5.220,P<0.05)。观察组术后(时间点为输尿管支架拔出第1天)VAS评分、OABSS评分均低于对照组,差异有统计学意义(t=9.596、29.604,P<0.05)。结论带线输尿管支架应用于输尿管软镜治疗2~3 cm肾结石中临床效果显著,可有效提高排石率,降低并发症发生率,改善VAS评分、OABSS评分。Objective To explore the efficacy of ureteral stents in the treatment of 2-3 cm kidney stones with flexible ureteroscopy and its effect on postoperative stone removal and postoperative voiding symptom scores.Methods A total of 78 patients with flexible ureteroscopy who were treated by the People’s Hospital of Liuhe District,Nanjing City from November 2019 to October 2021 were selected and divided into observation group(n=38)and control group(n=40)according to the differences in the operation methods.The control group was indwelled with traditional ureteral stent combined with cystoscope removal,while the observation group was indwelled with ureteral stent with wire.One month after the operation,the rate of stone removal,the incidence of related complications,the pain score before and after surgery[Visual Analog Scale(VAS)],and the postoperative voiding symptom score[Overactive Bladder Syndrome Score(OABSS)]were compared between the two groups.Results The stone expulsion rate(97.37%)in the observation group was significantly higher than that in the control group(80.00%),and the incidence of complications(2.63%)was significantly lower than that in the control group(22.50%),and the difference was statistically significant(χ^(2)=4.183,5.220,P<0.05).The VAS score and OABSS score of the observation group after operation(the time point was the first day of ureteral stent extraction)were lower than those of the control group,and the difference was statistically significant(t=9.596,29.604,P<0.05).Conclusion The ureteral stent with wire has significant clinical effect in the treatment of 2-3 cm kidney stones with flexible ureteroscope.It can effectively increase the rate of stone expulsion,reduce the incidence of complications,and improve the VAS score and OABSS score.

关 键 词：带线输尿管支架 输尿管软镜 肾结石 术后排尿症状 

分 类 号：R692.4[医药卫生—泌尿科学]