单通道微创经皮肾镜结合输尿管软镜治疗复杂性肾结石的临床效果观察  

Clinical Effect of Single Channel Minimally Invasive Percutaneous Nephroscope Combined with Flexible Ureteroscope in the Treatment of Complex Renal Calculi

作　　者：郑龙宝 郑美英 孟庆超[1] ZHENG Longbao;ZHENG Meiying;MENG Qingchao(不详;The 907th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army,Nanping 353000,China)

机构地区：[1]中国人民解放军联勤保障部队第九〇七医院,福建南平353000

出　　处：《中外医学研究》2023年第11期37-40,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨单通道微创经皮肾镜结合输尿管软镜治疗复杂性肾结石的临床效果。方法:选取2021年1月—2022年2月中国人民解放军联勤保障部队第九〇七医院收治的80例复杂性肾结石患者作为研究对象,用随机数表法将其分对照组和观察组,各40例,对照组接受单通道微创经皮肾镜手术治疗,观察组接受单通道微创经皮肾镜结合输尿管软镜治疗,比较两组患者结石残留率、围手术期指标、疼痛和舒适度评分、并发症发生率。结果:观察组结石残留率为2.50%,低于对照组22.50%,差异有统计学意义(χ^(2)=7.3143,P=0.0068);观察组住院时间短于对照组,术后下床活动时间、尿液转清时间早于对照组,手术时间长于对照组,差异有统计学意义(t=23.9429、15.7941、6.9532、8.7381,P<0.05);观察组术后5 h、48 h时视觉模拟量表(VAS)评分低于对照组,差异有统计学意义(t=13.5971、13.2326,P<0.05),术后48 h时舒适状况量表(GCQ)评分高于对照组,差异有统计学意义(t=40.1128,P<0.05);观察组并发症发生率低于对照组(2.50%vs 25.00%),差异有统计学意义(χ^(2)=8.5375,P<0.05)。结论:临床用单通道微创经皮肾镜结合输尿管软镜治疗复杂性肾结石,患者疼痛度更轻,舒适度更高,且并发症发生率低,术后恢复速度快。Objective:To investigate the clinical effect of single channel minimally invasive percutaneous nephroscope combined with flexible ureteroscope in the treatment of complex renal calculi.Method:A total of 80 patients with complex renal calculi who visited the 907th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army from January 2021 to February 2022 were selected as the research object.They were randomly divided into the control group and the observation group,40 patients in each group.The control group received single channel minimally invasive percutaneous nephroscope surgery,and the observation group received single channel minimally invasive percutaneous nephroscope combined with flexible ureteroscope.Stone residual rate,perioperative indicators,pain and comfort scores,complication rate were compared between the two groups.Result:The stone residual rate of 2.50%in the observation group was lower than 22.50%in the control group,with a statistically significant difference(χ^(2)=7.3143,P=0.0068).The time of hospitalization in the observation group was shorter than that in control group,the time of getting out of bed after operation and the time of urine clearing in the observation group were earlier than those in the control group,and the time of operation was longer than that in the control group,the differences were statistically significant(t=23.9429,15.7941,6.9532,8.7381,P<0.05).The visual analogue scale(VAS)scores of the observation group at 5 h and 48 h after operation were lower than those of the control group,the differences were statistically significant(t=13.5971,13.2326,P<0.05).The general comfort questionnaire(GCQ)score of the observation group at 48 h after operation was higher than that of the control group,the difference was statistically significant(t=40.1128,P<0.05).The complication rate of the observation group was lower than that of the control group(2.50%vs 25.00%),the difference was statistically significant(χ^(2)=8.5375,P<0.05).Conclusion:Single channel mi

关 键 词：输尿管软镜 复杂性肾结石 微创经皮肾镜 疼痛 生活质量 并发症 

分 类 号：R699.2[医药卫生—泌尿科学]