输尿管排石支架和普通输尿管支架对RIRS治疗输尿管上段结石或肾结石后出现残留结石患者的效果对比及分析  

Comparison and Analysis of the Effect of Lithotripsy Stent and Normal Ureteral Stent on Patients with Residual Stones after RIRS Treatment of Upper Ureteral Stones or Renal Stones

作　　者：仲翔宇 田峰[1] 陶雯 ZHONG Xiangyu;TIAN Feng;TAO Wen(Department of Urology,Lianyungang Dongfang Hospital,Lianyungang,Jiangsu Province,222000 China;Department of Laboratory,Li-anyungang Maternal and Child Health Hospital,Lianyungang,Jiangsu Province,222023 China)

机构地区：[1]连云港市东方医院泌尿外科,江苏连云港222000 [2]连云港市妇幼保健院检验科,江苏连云港222023

出　　处：《世界复合医学》2022年第11期42-46,共5页World Journal of Complex Medicine

摘　　要：目的分析逆行输尿管软镜手术(retrograde intrarenal stone surgery,RIRS)治疗输尿管上段结石或肾结石后出现残留结石患者放置输尿管排石支架辅助排石的效果。方法选取2020年12月—2021年12月连云港市东方医院接收的RIRS治疗输尿管上段结石或肾结石后出现残留结石患者50例展开研究,按照电脑随机分配方式分组,参比组25例患者应用普通双J管辅助排石治疗,研究组25例患者应用输尿管排石支架留置辅助排石术治疗。分析两组患者治疗后的疼痛水平、结石排尽时间、止痛时间、住院时间、结石排出率、并发症发生率。结果研究组患者疼痛水平轻于参比组,差异有统计学意义(P<0.05);研究组患者结石排尽时间、止痛时间、住院时间均短于参比组,差异有统计学意义(P<0.05);研究组结石排出率为96.00%,高于参比组的68.00%,差异有统计学意义(χ^(2)=4.878,P<0.05);研究组并发症发生率为4.00%,低于参比组的32.00%,差异有统计学意义(χ^(2)=4.878,P<0.05)。结论在对RIRS治疗输尿管上段结石或肾结石后出现残留结石患者进行治疗时,应用输尿管排石支架留置辅助排石术治疗能够减轻患者疼痛水平,加快结石排出,缩短住院时间,减少并发症发生风险。Objective To analyze the effect of placing ureteral stone removal stent to assist stone removal in patients with residual stones after RIRS treatment of upper ureteral stones or renal stones.Methods From December 2020 to December 2021,50 patients with residual stones after treatment of upper ureteral calculi or renal calculi with RIRS received by Lianyungang Dongfang Hospital were selected for the study.They were randomly assigned by computer.25 patients in the reference group were treated with common double J tubes for assisted lithotripsy,and 25 patients in the study group were treated with ureteral lithotripsy stent for assisted lithotripsy.The pain level,stone discharge time,pain relief time,hospitalization time,stone discharge rate and complication rate of the two groups after treatment were analyzed.Results The pain level of patients in the study group was lighter than that in the reference group,and the difference was statistically significant(P<0.05).The time of stone drainage,pain relief and hospitalization in the study group were shorter than those in the reference group,and the difference was statistically significant(P<0.05).The stone excretion rate in the study group was 96.00%,higher than that in the reference group(68.00%),and the difference was statistically significant(χ^(2)=4.878,P<0.05).The incidence of complications in the study group was 4.00%,lower than that in the reference group(32.00%),and the difference was statistically significant(χ^(2)=4.878,P<0.05).Conclusion In the treatment of patients with residual stones after RIRS for upper ureteral stones or renal stones,the application of ureteral drainage stent retentionassisted lithotripsy treatment can reduce patients'pain level,accelerate stone expulsion,shorten the length of hospital stay,and reduce the risk of complications.

关 键 词：RIRS 输尿管结石 输尿管排石支架留置辅助排石术 疼痛水平 结石排尽时间 住院时间 结石排除率 并发症发生率 

分 类 号：R699[医药卫生—泌尿科学]