二期微创经皮肾镜取石术治疗上尿路结石感染的效果研究  

Study on the Effect of Two-stage Minimally Invasive Percutaneous Nephrolithotomy for the Treatment of Upper Urinary Tract Stones with Infection

作　　者：毛永富 Mao Yongfu(Department of Urology,Qiandongnan People’s Hospital,Qiandongnan,Guizhou 556000)

机构地区：[1]黔东南苗族侗族自治州人民医院泌尿外科,贵州黔东南556000

出　　处：《科技与健康》2024年第18期41-44,共4页Technology and Health

摘　　要：本研究以探讨患有上尿路结石以及感染的患者在治疗过程中应用微创手术(经皮肾镜取石术)方案的治疗效果为目的,总结归纳出更为有效的治疗方案。选取2023年1月—2024年1月黔东南苗族侗族自治州人民医院收治的90例上尿路结石并感染的患者为研究对象,随机将患者分为对照组和观察组,每组各45例。对照组实施传统输尿管切开取石术,观察组实施二期微创经皮肾镜取石术,比较两组患者的治疗效果。结果显示,观察组患者的治疗效果更好,术中失血量更少,白细胞水平更低,手术时间与住院时间更短,组间数据差异具有统计学意义(P<0.05)。观察组患者的并发症发生率较低,且治疗满意度较高(P<0.05)。研究发现,微创经皮肾镜取石术治疗上尿路结石并感染患者的效果相对确切,可延缓患者的病情发展,促进患者术后快速康复,减少患者的术中失血量,降低患者的并发症发生率,具有较高的治疗有效性与安全性。The purpose of this study is to explore the therapeutic effect of minimally invasive surgery(percutaneous nephrolithotomy)on patients with upper urinary tract stones and infections during the treatment process,and to summarize and generalize more effective treatment plans.Ninety patients with upper urinary tract stones and infections admitted to Qiandongnan People’s Hospital from January 2023 to January 2024 were selected as the research subjects.The patients were randomly divided into two groups,a control group and an observation group,with 45 cases in each group.The control group underwent traditional ureterolithotomy,while the observation group underwent two-stage minimally invasive percutaneous nephrolithotomy.The treatment effects of the two groups were compared.The results showed that the treatment effect of the observation group patients was better,with less intraoperative blood loss,lower white blood cell levels,shorter surgery time and hospitalization time,and statistically significant differences between the groups(P<0.05).The incidence of complications in the observation group was lower,and the treatment satisfaction was higher(P<0.05).Research has found that minimally invasive percutaneous nephrolithotomy is relatively effective in treating patients with upper urinary tract stones and infections.It can delay the progression of the patient’s condition,promote rapid postoperative recovery,reduce intraoperative blood loss,and lower the incidence of complications.It has high therapeutic effectiveness and safety.

关 键 词：微创经皮肾镜取石术 上尿路结石 感染 输尿管切开取石术 

分 类 号：R699[医药卫生—泌尿科学]