输尿管软镜及经皮肾镜碎石术治疗肾结石的效果对比  

Comparison of the Efficacy of Flexible Ureteroscopy and Percutaneous Nephrolithotomy in the Treatment of Renal Calculi

作　　者：吴博 Wu Bo(Zunyi Daozhen County People's Hospital,Zunyi 563500,Guizhou Province,China)

机构地区：[1]遵义市道真县人民医院,贵州遵义563500

出　　处：《中外医药研究》2025年第4期67-69,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:对比输尿管软镜及经皮肾镜碎石术治疗肾结石的效果。方法:选取2021年9月—2023年4月遵义市道真县人民医院收治的84例肾结石患者作为研究对象,根据抽签法分为对照组与观察组,各42例。对照组接受经皮肾镜碎石术治疗,观察组接受输尿管软镜碎石术治疗。对比两组肾功能指标水平、血红蛋白水平、手术相关指标、治疗效果、并发症发生情况、电解质水平。结果:术后3 d,两组血尿素氮、血清肌酐水平升高,血红蛋白水平降低,观察组优于对照组(P<0.05);观察组术中出血量少于对照组,术后首次下床活动时间及住院时间短于对照组(P<0.001);观察组并发症总发生率低于对照组(P=0.025);术后3 d,两组血钠、血钾、血氯水平降低,观察组低于对照组(P<0.05)。结论:与经皮肾镜碎石术相比,输尿管软镜碎石术治疗肾结石的整体效果更好,术中损伤小、术后恢复快,对肾功能影响更小,且并发症及电解质紊乱风险低。Objective:To compare the efficacy of flexible ureteroscopy and percutaneous nephrolithotomy in the treatment of renal calculi.Methods:A total of 84 patients with renal calculi admitted to Zunyi Daozhen County People's Hospital from September 2021 to April 2023 were selected as subjects and divided into a control group and an observation group,with 42 cases in each group.The control group underwent percutaneous nephrolithotomy,while the observation group underwent flexible ureteroscopic lithotripsy.The renal function indices,hemoglobin levels,operation-related indices,treatment efficacy,complications,and electrolyte levels were compared between the two groups.Results:At 3 days postopercrtively,the levels of blood urea nitrogen and serum creatinine increased,and hemoglobin levels decreased in both groups,with the observation group showing better results than the control group(P<0.05).The intraoperative blood loss in the observation group was less than that in the control group,and the time to first ambulation and hospital stay were shorter than those in the control group(P<0.001).The total incidence of complications in the observation group was lower than that in the control group(P=0.025).At 3 days postopercrtively,the levels of sodium,potassium,and chlorine in the blood decreased in both groups,with the observation group showing lower levels than the control group(P<0.05).Conclusion:Compared with percutaneous nephrolithotomy,flexible ureteroscopic lithotripsy for the treatment of renal calculi has a better overall efficacy,less intraoperative injury,faster postoperative recovery,less impact on renal function,and a lower risk of complications and electrolyte disturbances.

关 键 词：肾结石 输尿管软镜碎石术 经皮肾镜碎石术 

分 类 号：R692.4[医药卫生—泌尿科学]