输尿管镜联合球囊扩张导管治疗输尿管狭窄的疗效分析  

Analysis of the Efficacy of Ureteroscopy Combined with Balloon Dilatation Catheter for Ureteral Stenosis

作　　者：王军[1] WANG Jun(Department of Urology,Jiangyin Hospital of Traditional Chinese Medicine,Jiangyin,Jiangsu Province,214400 China)

机构地区：[1]江阴市中医院泌尿外科,江苏江阴214400

出　　处：《系统医学》2022年第23期135-138,共4页Systems Medicine

基　　金：江阴市中医院院级科研项目(202015)。

摘　　要：目的分析在输尿管狭窄治疗中,输尿管镜联合球囊扩张导管的疗效。方法选取2020年2月—2021年12月江阴市中医院收治的80例输尿管狭窄患者为研究对象,随机分为两组,对照组40例,实行传统开放手术,观察组40例,实行输尿管镜联合球囊扩张导管。比较两组患者临床指标、疗效、并发症、手术和住院情况。结果观察组CFR、狭窄直径高于对照组,CPR、SCR低于对照组,差异有统计学意义(P<0.05)。观察组治疗有效率为97.50%,明显高于对照组的80.00%,差异有统计学意义(χ^(2)=4.507,P=0.034)。观察组并发症发生率为5.00%,明显低于对照组的22.50%,差异有统计学意义(χ^(2)=5.165,P=0.023)。观察组手术时间、术中出血量、进食时间、住院时间均低于对照组,差异有统计学意义(P<0.05)。结论在输尿管狭窄治疗中,输尿管镜联合球囊扩张导管效果显著,可改善患者肾功能、肾脏排泄及手术指标,降低并发症,同时缩短住院时间,提高治疗效果。Objective To analyze the efficacy of ureteroscopy combined with balloon dilatation catheter in the treat⁃ment of ureteral stenosis.Methods 80 patients with ureteral stricture admitted to Jiangyin Hospital of Traditional Chi⁃nese Medicine from February 2020 to December 2021 were selected as the study subjects and randomly divided into two groups,40 cases in the control group,with traditional open surgery,and 40 cases in the observation group,with ureteroscopy combined with balloon dilatation catheter.The clinical indices,efficacy,complications,surgical and hos⁃pitalization conditions of the two groups were compared.Results The CFR and stenosis diameter of the observation group were higher than those of the control group,and the CPR and SCR were lower than those of the control group,the difference was statistically significant(P<0.05).The treatment efficiency of 97.50%in the observation group was significantly higher than 80.00%in the control group,the difference was statistically significant(χ^(2)=4.507,P=0.034).The complication rate of 5.00%in the observation group was significantly lower than 22.50%in the control group,the difference was statistically significant(χ^(2)=5.165,P=0.023).The operation time,intraoperative bleeding,eating time and hospital stay in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).Conclusion In the treatment of ureteral stenosis,ureteroscopy combined with balloon dilatation catheter is effective,which can improve the renal function,renal excretion and surgical index of patients,reduce com⁃plications,as well as shorten the hospitalization time and improve the treatment effect.

关 键 词：输尿管狭窄 输尿管镜 球囊扩张导管 

分 类 号：R699.6[医药卫生—泌尿科学]