Department of Urology, The First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong 515041, China.
Department of Urology, Shantou Central Hospital, Shantou, Guangdong, China.
J Healthc Eng. 2022 Apr 21;2022:4373416. doi: 10.1155/2022/4373416. eCollection 2022.
To analyze the effect of ureteroscopy and retrolaparoscopy on urinary calculi and infection.
A total of 64 patients with urinary calculi and infection who received treatment in our hospital from June 2018 to January 2018 were selected. According to the different treatment methods, they were divided into two groups: a control group and a study group. The study group was treated with laparoscopic ureteroscopy, and the control group was treated with ureteroscopy. The surgical results, complications, renal function, stress response, and inflammatory reaction were compared between the two groups.
Compared with the control group, the study group stone clearance rate was higher, the surgical time was shorter ( < 0.05); the incidence of complications in the study group (23.3%) was lower than that in the control group (5.9%) ( < 0.05); there was no significant difference in kidney function indicators before treatment ( > 0.05); after treatment, the SCR, BUN, NGAL, and Cys-C indicators of the two groups were significantly increased. Compared with the control group, the study group change was more obvious, and the difference was statistically significant ( < 0.05); after treatment, the two sets of stress response indicators were significantly increased, but relative to the control group, the study group stress response indicator was lower ( < 0.05); before treatment, there was no significant difference in inflammatory factors ( > 0.05); after treatment, the two sets of inflammatory factor levels were significantly increased, but relative to the control group, the study group was lower ( < 0.05).
In the clinical treatment of urinary stones, ureteroscopy technology and the laparoscopic technique have played an important role. But the laparoscopic technique is shorter, the stone clearance is higher, and the patient's renal function can be improved, and the patient is postoperative. The stress reaction should be small. Therefore, in the clinical treatment of urinary stones and infection, laparoscopic technical treatment is worth promoting.
分析输尿管镜和后腹腔镜治疗尿路结石合并感染的效果。
选取我院 2018 年 6 月至 2018 年 1 月收治的尿路结石合并感染患者 64 例,根据治疗方法的不同分为两组,对照组采用输尿管镜治疗,观察组采用腹腔镜输尿管镜治疗,比较两组手术效果、并发症、肾功能、应激反应、炎症反应。
观察组结石清除率高于对照组,手术时间短于对照组(<0.05);观察组并发症发生率(23.3%)低于对照组(5.9%)(<0.05);治疗前肾功能指标比较差异无统计学意义(>0.05);治疗后两组 SCR、BUN、NGAL、Cys-C 指标均明显升高,观察组变化更明显,差异有统计学意义(<0.05);治疗后两组应激反应指标均明显升高,但观察组应激反应指标低于对照组,差异有统计学意义(<0.05);治疗前炎症因子比较差异无统计学意义(>0.05);治疗后两组炎症因子水平均明显升高,但观察组低于对照组,差异有统计学意义(<0.05)。
在临床尿路结石的治疗中,输尿管镜技术和腹腔镜技术均发挥了重要作用,但腹腔镜技术手术时间更短、结石清除率更高,可改善患者肾功能,且术后患者应激反应较小,因此在临床尿路结石及感染的治疗中,腹腔镜技术治疗值得推广。