中国医学创新2023，Vol.20Issue(34)：18-22,5.DOI:10.3969/j.issn.1674-4985.2023.34.004
智能控压下输尿管硬镜联合软镜吸引取石术治疗复杂性肾结石的效果观察
Observation on the Effect of Rigid Ureteroscope Combined with Flexible Ureteroscope Suction Lithotomy under Intelligent Control Pressure in the Treatment of Complex Renal Calculus
摘要
Abstract
Objective:To analyze the effect of rigid ureteroscope combined with flexible ureteroscope suction lithotomy under intelligent control pressure in the treatment of complex renal calculus.Method:A total of 100 patients with complex renal calculus admitted to Ganzhou People's Hospital from April 2021 to April 2023 were selected and divided into the control group and the observation group according to the random number table method,with 50 cases in each group.The control group was treated with minimally invasive percutaneous nephrolithotomy,and the observation group was treated with rigid ureteroscope combined with flexible ureteroscope suction lithotomy under intelligent control pressure.The perioperative indicators,stone clearance,quality of life and complications were compared between the two groups.Result:The operation time was(79.69±7.59)min in the observation group,which was longer than(57.21±6.05)min in the control group;the hospitalization time of the observation group was(4.16±0.69)d,which was shorter than(6.59±1.38)d of the control group;the visual analogue scale(VAS)score of 24 h after operation was(2.35±0.36)points,which was lower than(3.21±0.56)points of the control group;the total incidence of complications in the observation group was 4.00%(2/50),which was lower than 18.00%(9/50)in the control group;the stone clearance rate was 96.00%(48/50)in the observation group,which was higher than 84.00%(42/50)in the control group,the differences were statistically significant(P<0.05).Before operation,there were no statistically significant differences in the scores of each dimension in the general quality of life inventory-74(GQOLI-74)between the two groups(P>0.05),1 month after operation,the scores of social function,psychological function and physical function in GQOLI-74 of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).There was no significant difference in the score of material life status between the two groups(P>0.05).Conclusion:The effect of rigid ureteroscope combined with flexible ureteroscope suction lithotomy under intelligent control pressure is significant in the treatment of complex renal calculus,which can shorten the length of the hospitalization time,effectively remove calculus in the patient's body,reduce postoperative pain,improve the quality of life,and reduce complications.关键词
复杂性肾结石/智能控压下输尿管硬镜联合软镜吸引取石术/生活质量Key words
Complex renal calculus/Rigid ureteroscope combined with flexible ureteroscope suction lithotomy under intelligent control pressure/Quality of Life引用本文复制引用
钟愉明,邓小林,杨忠圣,何小龙,杜传策,宋乐明..智能控压下输尿管硬镜联合软镜吸引取石术治疗复杂性肾结石的效果观察[J].中国医学创新,2023,20(34):18-22,5.基金项目
江西省卫生健康委科技计划项目(SKJP220211020) （SKJP220211020）
