经尿道输尿管软镜钬激光肾盂旁囊肿内切开引流术对患者的治疗效果  

Effect of Transurethral Flexible Ureteroscopy Holmium Laser Incision and Drainage of Parapelvic Cyst on the Patients

作　　者：苏小凯[1] 杨仲兴[1] 刘志刚[1] 胡文晖[1] SU Xiaokai;YANG Zhongxing;LIU Zhigang;HU Wenhui(Department of Urology,Zhengzhou Second People’s Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州市第二人民医院泌尿外科,河南郑州450000

出　　处：《河南医学研究》2024年第3期455-458,共4页Henan Medical Research

摘　　要：目的 分析经尿道输尿管软镜钬激光肾盂旁囊肿内切开引流术对肾盂旁囊肿患者手术相关指标与并发症的影响。方法 选取2021年1月至2023年4月郑州市第二人民医院收治的50例肾盂旁囊肿患者,按掷硬币法分为两组,各25例。对照组接受腹腔镜下肾盂旁囊肿去顶减压术,观察组接受经尿道输尿管软镜钬激光肾盂旁囊肿内切开引流术,对比两组手术效果。结果 两组手术效果(96.00%、80.00%)和并发症发生率(8.00%、20.00%)差异无统计学意义(P>0.05)。观察组手术时间、术后卧床时间、住院时间短于对照组,术中出血量少于对照组(P<0.05)。治疗后两组C-反应蛋白、白细胞介素-6、白细胞介素-1β水平、肿瘤坏死因子-α以及降钙素原水平下降(P<0.05)。结论 经尿道输尿管软镜钬激光肾盂旁囊肿内切开引流术可减少手术创伤和出血量,基本不产生应激反应,可降低炎症因子水平,对术后恢复更有利。Objective To analyze the effect of transurethral flexible ureteroscopy holmium laser incision and drainage of parapelvic cyst on the related indicators and complications of patients with parapelvic cyst.Methods A total of 50 patients with parapelvic cyst admitted to Zhengzhou Second People’s Hospital from January 2021 to April 2023 were selected and divided into two groups according to coin toss method,with 25 cases in each group.The control group were received laparoscopic renal parapelvic cyst roof decompression,and observation group were received transurethral ureteral soft scope holmium laser renal pyeloid cyst open drainage.Surgical effects were compared between the two groups.Results There was no significant difference in the surgical effect(96.00%,80.00%)and the incidence of complications(8.00%,20.00%)between the two groups(P>0.05).The operation time,postoperative bed time and hospitalization time of the observation group were shorter than those of the control group,and the intraoperative blood loss was less than that of the control group(P<0.05).After treatment,the levels of C-reactive protein,interleukin-6,interleukin-1β,tumor necrosis factor-αand procalcitonin in the two groups decreased(P<0.05).Conclusion Transurethral ureteroscopic holmium laser internal incision and drainage surgery can reduce surgical trauma and blood loss,basically produce no stress response,and reduce the level of inflammatory factors,which is more beneficial to postoperative recovery.

关 键 词：肾盂旁囊肿 去顶减压术 切开引流术 炎症因子 并发症 

分 类 号：R692[医药卫生—泌尿科学]