智能控压输尿管软镜吸引取石术治疗肾结石的临床研究

Clinical Study of Intelligent Pressure-controlled Ureteroscope for Attracting Stone to Treat Renal Calculi

目的分析智能控压输尿管软镜吸引取石术治疗肾结石的应用价值。方法选择2017年9月～2018年6月在我院就诊的68例肾结石患者作为研究对象,按照随机数字表法分为对照组和观察组,各34例。对照组患者采用经皮肾镜碎石术治疗,观察组患者采用智能监控内压输尿管软镜吸取石术治疗。比较两组患者手术时间、出血量、下床活动时间、住院时间及术后并发症发生情况。结果对照组患者手术时间高于观察组[(134.14±31.05)min vs (68.61±29.12)min],术中出血量多于观察组[(378.14±40.69)ml vs(205.04±31.64)ml],差异均有统计学意义(P<0.05);观察组患者下床活动时间、住院时间均短于对照组患者,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组(8.82%vs 35.29%),差异有统计学意义(P<0.05)。结论智能控压的输尿管软镜吸引取石术应用于肾结石中能有效缩短手术时间,减少术中出血量,加快患者下床活动,减少患者住院时间,并发症发生率低。

Objective To analyze the application value of intelligent pressure-controlled ureteroscope for stone removal for the treatment of renal calculi.Methods A total of68patients with kidney stones who were treated in our hospital from September2017to June2018were enrolled.The patients were divided into the control group and the observation group according to the random number table method,34cases each.Patients in the control group were treated with percutaneous nephrolithotomy,and patients in the observation group were treated with intelligent monitoring of internal pressure ureteroscopy.The operation time,blood loss,time of getting out of bed,hospitalization time and postoperative complications were compared between the two groups.Results The operation time of the control group was higher than that of the observation group[(134.14±31.05)min vs(68.61±29.12)min],and the intraoperative blood loss was more than that of the observation group[(378.14±40.69)ml vs(205.04±31.64)ml].The differences were statistically significant(P<0.05).The time of going out and the length of hospital stay in the observation group were shorter than those in the control group,the difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group.(8.82%vs35.29%),the difference was statistically significant(P<0.05).Conclusion Intelligent pressure-controlled ureteroscope-assisted stone extraction for renal calculi can effectively shorten the operation time,reduce the amount of intraoperative blood loss,speed up the patient's getting out of bed,reduce the length of hospital stay,and have a low incidence of complications.