实用临床医药杂志2024，Vol.28Issue(18)：8-11,16,5.DOI:10.7619/jcmp.20242917
一次性超细输尿管软镜联合头端可弯曲负压吸引鞘在上尿路结石一期治疗中的应用效果
Efficacy of single-use flexible ureteroscopes combined with flexible tip negative pressure suction sheath in the primary treatment of upper urinary tract stones
摘要
Abstract
Objective To investigate the efficacy of single-use flexible ureteroscopes combined with flexible tip negative pressure suction sheath in the primary treatment of upper urinary tract stones.Methods A total of 236 patients with upper urinary tract stones were selected as study sub-jects.Through retrospective analysis,the patients were divided into study group(n=118)and con-trol group(n=118).The study group was treated with single-use flexible ureteroscopes combined with flexible tip negative pressure suction sheath,while the control group received treatment with sin-gle-use flexible ureter oscopes combined with conventional sheath.The postoperative pain level[Visu-al Analogue Scale(VAS)],inflammatory markers,stress indicators,renal function parameters,complication rates and stone clearance rates were compared between the two groups.Results On the first,second,and third postoperative day,the VAS scores in the control group were significantly higher than those in the study group(P＜0.05).At 1 d after surgery,the levels of C-reactive protein,inter-leukin-6,procalcitonin,norepinephrine and cortisol in the study group were significantly lower than those in the control group(P＜0.05).Additionally,on the first postoperative day,the levels of urea nitrogen,serum creatinine,uric acid and cystatin C in the study group were significantly higher than those in the control group(P＜0.05).The overall complication rate in the study group was 14.4％,which was significantly lower than 27.1％in the control group(P＜0.05).The postoperative stone clearance rate in the study group was 98.3％,which was significantly higher than 88.1％in the control group(P＜0.05).Conclusion The combination of single-use flexible ureteroscopes and flexible tip negative pressure suction sheath exhibits superior efficacy in the primary treatment of upper uri-nary tract stones.This approach can enhance stone clearance rates,reduces complication rates,al-leviate postoperative pain and inflammatory responses,and promotes renal function recovery.关键词
一次性超细输尿管软镜/负压吸引鞘/上尿路结石/炎症反应/肾功能/结石清除率Key words
single-use flexible ureteroscopes/negative pressure suction sheath/upper urina-ry tract stones/inflammatory response/renal function/stone clearance rate分类
医药卫生引用本文复制引用
罗浪,杜龙,陈驰,刘志远,魏攀..一次性超细输尿管软镜联合头端可弯曲负压吸引鞘在上尿路结石一期治疗中的应用效果[J].实用临床医药杂志,2024,28(18):8-11,16,5.基金项目
2022年四川省成都市医学科研课题立项项目(2022557) （2022557）
