不同支架管留置时间在经尿道输尿管镜取石术治疗泌尿系结石中的应用效果探讨  

Application effect of different time of stent indwelling in the treatment of urinary calculi by transurethral ureteroscopic lithotripsy

作　　者：高丙鹏 GAO Bing-peng(Zhejiang Provincial People's Hospital Bijie Hospital(First People's Hospital of Bijie City),Bijie 551700,China)

机构地区：[1]浙江省人民医院毕节医院(毕节市第一人民医院),551700

出　　处：《中国现代药物应用》2024年第12期60-63,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探讨接受经尿道输尿管镜取石术治疗的泌尿系结石患者实施不同时间支架管留置的效果。方法60例接受经尿道输尿管镜取石术治疗的泌尿系结石患者作为研究对象,依据支架管留置时间的不同分为常规组(支架管留置4周,30例)和实验组(支架管留置2周,30例)。对比两组不良事件发生率、生活质量评分、肾功能指标[尿素氮(BUN)、尿酸(UA)、肌酐(Cr)]。结果实验组的不良事件发生率6.67%较常规组的26.67%低,有统计学意义(P<0.05)。拔管后,实验组患者的生理功能、身体疼痛、角色限制、总体健康、社会功能、活力、精神健康、情感职能评分分别为(69.65±8.66)、(66.54±9.44)、(77.55±8.41)、(78.66±9.55)、(80.34±9.54)、(72.56±9.85)、(78.69±9.64)、(77.58±9.14)分,均较常规组的(58.45±7.14)、(60.21±8.56)、(68.54±7.55)、(66.24±8.96)、(75.65±8.44)、(60.45±7.99)、(70.55±9.66)、(66.42±9.36)分更高,有统计学意义(P<0.05)。两组术后BUN、UA、Cr均低于术前,有统计学意义(P<0.05),但两组手术前后组间BUN、UA、Cr比较,无统计学意义(P>0.05)。结论泌尿系结石患者接受经尿道输尿管镜取石术治疗时,术后支架管留置2周的安全性更高,不良事件更少,有助于患者的快速恢复,进而提升患者的生活质量。Objective To explore the effect of different time of stent indwelling in the treatment of urinary calculi by transurethral ureteroscopic lithotripsy.Methods 60 patients with urinary calculi treated with transurethral ureteroscopic lithotripsy were selected as the experimental subjects.According to the different time of stent indwelling,they were divided into a conventional group(stent indwelling for 4 weeks,30 cases)and an experimental group(stent indwelling for 2 weeks,30 cases).The incidence of adverse events,quality of life scores and renal function indicators[blood urea nitrogen(BUN),uric acid(UA),creatinine(Cr)]were compared between the two groups.Results The incidence of adverse events in the experimental group was 6.67%,which was lower than the conventional group's 26.67%,and there was statistical significance(P<0.05).After extubation,the scores of physiological function,physical pain,role limitation,general health,social function,vitality,mental health and emotional function were(69.65±8.66),(66.54±9.44),(77.55±8.41),(78.66±9.55),(80.34±9.54),(72.56±9.85),(78.69±9.64)and(77.58±9.14)points,which were higher than(58.45±7.14),(60.21±8.56),(68.54±7.55),(66.24±8.96),(75.65±8.44),(60.45±7.99),(70.55±9.66)and(66.42±9.36)points in the conventional group.There was statistical significance(P<0.05).BUN,UA and Cr after surgery in both groups were lower than those before surgery,and there was statistical significance(P<0.05),but there was no statistial significance in BUN,UA and Cr between the two groups before and after surgery(P>0.05).Conclusion For urinary calculi patients treated with transurethral ureteroscopic lithotripsy,controlling the time of stent indwelling for 2 weeks has high safety and less adverse events,which helps the patient's rapid recovery,and then improve the quality of life of patients.

关 键 词：经尿道输尿管镜取石术 泌尿系结石 留置时间 支架管 不良事件 

分 类 号：R699[医药卫生—泌尿科学]