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作 者:陈仲萍 方陈[1] CHEN Zhongping;FANG Chen(Department of Urology,Fuqing City Hospital of Fujian,Fuqing Fujian 350300,China)
机构地区:[1]福建省福清市医院泌尿外科,福建福清350300
出 处:《中国卫生标准管理》2024年第3期96-99,共4页China Health Standard Management
摘 要:目的观察微创经皮肾镜取石术治疗输尿管上段结石合并感染的效果。方法本次研究对象为福建省福清市医院2021年1月—2023年5月接受诊治的60例输尿管上段结石合并感染患者,由随机数字表法选取划分为试验组、对照组,各30例。此次研究中的试验组受试者实施微创经皮肾镜取石术治疗措施,对照组则实施经尿道输尿管镜碎石术。结束干预之后,比对试验对象之间的治疗总有效率、并发症发生率、结石清除率和肾功能水平。结果治疗后,试验组的治疗总有效率高于对照组,差异有统计学意义(P<0.05);试验组并发症发生率比对照组更低,差异有统计学意义(P<0.05);试验组结石清除率比对照组更高,差异有统计学意义(P<0.05);在肾功能水平方面,试验组的血尿素氮(blood urea nitrogen,BUN)比对照组更低,血肌酐(serum creatinine,Scr)比对照组更低,差异有统计学意义(P<0.05)。结论在试验组的治疗过程中,给予输尿管上段结石合并感染患者微创经皮肾镜取石术治疗干预,其实施后的效果相对较好。患者的症状在治疗干预后,得以显著改善,其出现并发症的情况相对较少,其自身的结石清除率也得以提升,肾功能也随之改善,值得被临床应用推广。Objective To observe the effect of minimally invasive percutaneous nephrolithotomy in the treatment of upper ureteral stones complicated with infection.Methods The subjects of this study were 60 patients with upper ureteral stones complicated with infection who received treatment at Fuqing City Hospital of Fujian from January 2021 to May 2023.They were randomly divided into the experimental group and the control group,with 30 cases in each group,using a random number table method.In this study,the experimental group was undergone minimally invasive percutaneous nephrolithotomy treatment,while the control group was undergone transurethral ureteroscopic lithotripsy.After the intervention,compared the total effective rate of treatment,incidence of complications,stone clearance rate and renal function level among the trial subjects.Results After treatment,the total effective rate of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).The stone clearance rate in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).In terms of renal function,the experimental group had lower blood urea nitrogen(BUN)and lower serum creatinine(Scr)compared to the control group,the differences were statistically significant(P<0.05).Conclusion In the treatment process of the experimental group,minimally invasive percutaneous nephrolithotomy intervention was given to patients with upper ureteral stones complicated with infection,and the effect after implementation was relatively good.After treatment intervention,the symptoms of the patients were significantly improved and the incidence of complications was relatively low.Their own stone clearance rate was also improved,and renal function was also improved,which is worthy of clinical application and prom
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