电子输尿管软镜联合穴位贴敷治疗上尿路结石的临床效果研究  

Clinical effect of flexible electronic ureteroscope combined with acupoint application in the treatment of upper urinary calculi

作　　者：宋波[1] 吴沛珊[1] 李爱民[1] 孔广起[1] SONG Bo;WU Pei-shan;LI Ai-min(Department of Urology,Beijing Luhe Hospital,Capital Medical University,Beijing 101149,China)

机构地区：[1]首都医科大学附属北京潞河医院泌尿外科,北京101149

出　　处：《中国中西医结合外科杂志》2025年第2期250-253,共4页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：2023年通州区高水平双师科技专项培育项目(KJ2023SS026)。

摘　　要：目的:研究一次性国产电子输尿管软镜联合中医穴位贴敷治疗上尿路结石患者的临床效果及安全性。方法:回顾性分析2022年4月—2023年9月首都医科大学附属北京潞河医院收治的202例上尿路结石患者的临床资料。按照治疗方法的不同分为观察组与对照组,各101例,其中对照组仅采取一次性国产输尿管软镜钬激光碎石治疗,观察组在对照组治疗方法上给予了中医穴位贴敷治疗。比较两组患者的手术时间、术后残留结石率和术后尿路感染率,以及视觉模拟评分(VAS)、降钙素原(PCT)、白细胞介素-6(IL-6)和C反应蛋白(CRP)水平。结果:观察组手术时间少于对照组,差异有统计学意义(P<0.05)。观察组术后残留结石率及术后尿路感染率显著低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组患者VAS、PCT、IL-6、CRP水平显著低于对照组患者,差异有统计学意义(P<0.05)。结论:应用一次性国产输尿管软镜联合中医穴位贴敷治疗上尿路结石安全且操作简便,缩短手术时间,提高结石清除率,减轻患者术后疼痛及术后炎症反应,值得临床推广。Objective To study the clinical effect and safety of disposable domestic electronic ureteroscope combined with TCM acupoint application in patients with upper urinary calculi.Methods The clinical data of 202 patients with upper urinary tract stones admitted to Beijing Luhe Hospital of Capital Medical University from April 2022 to September 2023 were reviewed.According to the different treatment methods,patients were divided into observation group and control group,101 cases each,among which the control group only used disposable domestic flexible ureteroscope combined with holmium laser lithotripsy.The observation group were given TCM acupoint application on the Basis of the treatment methods of the control group.Operation time,postoperative residual stone rate and postoperative urinary tract infection rate,and visual analogue score(VAS),procalcitonin level(PCT),interleukin-6(IL-6)and C reactive protein(CRP)levels were compared.Results Operation time was less in the observation group than in the control group,and it was statistically significant(P<0.05).The rate of postoperative residual stones and postoperative urinary tract infection in the observation group was significantly lower than that in the control group,and the difference was significant(P<0.05).After treatment,the levels of VAS,PCT,IL-6,and CRP in the observation group were significantly lower than those in the control group,and the difference was significant(P<0.05).Conclusion The application of domestic disposable electronic flexible ureteroscope combined with traditional Chinese medicine acupoint application is safe and easy to operate,which can shorten the operation time,improve the stone clearance rate,and reduce the postoperative pain and postoperative inflammatory reaction of patients,which is worthy of clinical promotion.

关 键 词：一次性电子输尿管软镜 穴位贴敷 上尿路结石 激光碎石 残留结石率 

分 类 号：R692.4[医药卫生—泌尿科学]