摘要
Abstract
Objective:To explore the differences in efficacy between the use and non-use of ureteral access sheaths and stents in flexible ureteroscopic lithotripsy for patients with kidney stones.Method:A total of 120 patients with kidney stones who underwent flexible ureteroscopic lithotripsy in the First People's Hospital of Longnan from August 2022 to August 2025 were selected.They were randomly divided into an observation group and a control group using a random number table as the research objects.The observation group did not use ureteral access sheaths and stents during flexible ureteroscopic lithotripsy,while the control group did.The preoperative clinical data,surgical indicators,stone clearance rates at 1 week and 1 month after surgery,and postoperative complications of the two groups were compared.Result:There were no statistically significant differences in preoperative clinical data such as age,gender,body mass index(BMI),stone diameter,affected side,CT value,history of stone surgery,stone location,use of antibiotics,C-reactive protein,diabetes,and hypertension between the two groups(P＞0.05).There were no statistically significant differences in the comparison of hospitalization time,ureteral injury conditions and hemoglobin decrease values between the two groups(P＞0.05).The operation time and hospitalization cost in the observation group were lower than those in the control group,and the differences were statistically significant(P＜0.05).There were no statistically significant differences in the initial stone clearance rates and the stone clearance rates at 1 month after surgery between the observation group and the control group(P＞0.05).There was no statistically significant difference in the complications between the two groups(P＞0.05).Conclusion:In flexible ureteroscopic lithotripsy for patients with kidney stones,not using ureteral access sheaths and stents can shorten the hospital stay and reduce hospitalization costs,and the efficacy is comparable to that of using ureteral access sheaths and stents,which can provide a reference for the clinical treatment of patients with kidney stones.关键词
输尿管软镜碎石术/肾结石/输尿管通路鞘/输尿管支架/疗效Key words
Flexible ureteroscopic lithotripsy/Kidney stones/Ureteral access sheath/Ureteral stent/Efficacy
