目的比较负压组合式输尿管镜联合输尿管软镜与经皮肾镜处理复杂性肾结石的优劣性。方法回顾性收集2020年1月至2022年12月东莞市厚街医院复杂性肾结石患者的资料,根据结石大小1:1倾向性匹配后分为两组,各48例。研究组行负压组合式输尿管...目的比较负压组合式输尿管镜联合输尿管软镜与经皮肾镜处理复杂性肾结石的优劣性。方法回顾性收集2020年1月至2022年12月东莞市厚街医院复杂性肾结石患者的资料,根据结石大小1:1倾向性匹配后分为两组,各48例。研究组行负压组合式输尿管镜治疗,对照组行经皮肾镜治疗。比较两组结石大小、术后结石清除率、手术前后肾功能、血清炎症因子水平变化和术后并发症发生率。结果研究组与对照组比较,结石大小分别为[(23.9±2.9) mm vs (24.4±3.0) mm,P=0.399];结石清除率分别为95.83% vs 81.25%,P=0.025;术中出血量[(10.4±3.0) ml vs (61.2±10.1) ml,P<0.001];术后CRP两组分别为[(13.1±1.4) mg/L vs (16.5±1.5)mg/L,P<0.001];术后PCT为[(0.586±0.145) ng/ml vs (0.855±0.149)ng/ml,P<0.001];围手术期总并发症发生率4.17% vs 22.92%,P=0.025,但研究组有1例发生输尿管损伤,放置输尿管支架管痊愈。术后随访1年,研究组没有发生输尿管狭窄。结论负压组合式输尿管镜联合输尿管软镜治疗复杂性肾结石可提升结石清除率,减轻手术引起的炎性反应,降低肾脏的损伤,并发症少,疗效优于经皮肾镜。展开更多
Unintended pregnancy often ends with induced abortion,an outcome that affects a woman’s physical and mental health and consumes social resources.A national fertility survey conducted by the former National Health and...Unintended pregnancy often ends with induced abortion,an outcome that affects a woman’s physical and mental health and consumes social resources.A national fertility survey conducted by the former National Health and Family Planning Com-mission in 2017,gathered data on pregnancies among married women aged 15-49 to analyze the changing circumstances of such pregnancies and the factors that influ-ence their occurrence.The analysis found that the incidence of unintended pregnan-cies among married women in China was 42.4‰in 2017,and that such pregnancies accounted for 22.9%of all pregnancies in China for the years 2010-2017.Of all abortions,91.9%were used to terminate unintended pregnancies,and of unintended pregnancies,67.1%ended with induced abortions.The incidence of unintended pregnancy and that of induced abortion to terminate the unintended pregnancy were higher among women living in an urban rather than a rural area,having previously given birth to a boy,having a large number of children,being at the older end of their childbearing years,or having a shorter interpregnancy interval.Only 37.3%of women chose long-term contraceptive methods after an induced abortion caused by an unintended pregnancy;their sense of self-protection was not strong.It is neces-sary to strengthen education and advocacy,enhance women’s awareness of the pro-tection contraceptives offer,and improve the quality of and access to contraceptive services to reduce the incidence of unintended pregnancy,and reduce the incidence of induced abortion to terminate unintended pregnancy.展开更多
文摘目的比较负压组合式输尿管镜联合输尿管软镜与经皮肾镜处理复杂性肾结石的优劣性。方法回顾性收集2020年1月至2022年12月东莞市厚街医院复杂性肾结石患者的资料,根据结石大小1:1倾向性匹配后分为两组,各48例。研究组行负压组合式输尿管镜治疗,对照组行经皮肾镜治疗。比较两组结石大小、术后结石清除率、手术前后肾功能、血清炎症因子水平变化和术后并发症发生率。结果研究组与对照组比较,结石大小分别为[(23.9±2.9) mm vs (24.4±3.0) mm,P=0.399];结石清除率分别为95.83% vs 81.25%,P=0.025;术中出血量[(10.4±3.0) ml vs (61.2±10.1) ml,P<0.001];术后CRP两组分别为[(13.1±1.4) mg/L vs (16.5±1.5)mg/L,P<0.001];术后PCT为[(0.586±0.145) ng/ml vs (0.855±0.149)ng/ml,P<0.001];围手术期总并发症发生率4.17% vs 22.92%,P=0.025,但研究组有1例发生输尿管损伤,放置输尿管支架管痊愈。术后随访1年,研究组没有发生输尿管狭窄。结论负压组合式输尿管镜联合输尿管软镜治疗复杂性肾结石可提升结石清除率,减轻手术引起的炎性反应,降低肾脏的损伤,并发症少,疗效优于经皮肾镜。
文摘Unintended pregnancy often ends with induced abortion,an outcome that affects a woman’s physical and mental health and consumes social resources.A national fertility survey conducted by the former National Health and Family Planning Com-mission in 2017,gathered data on pregnancies among married women aged 15-49 to analyze the changing circumstances of such pregnancies and the factors that influ-ence their occurrence.The analysis found that the incidence of unintended pregnan-cies among married women in China was 42.4‰in 2017,and that such pregnancies accounted for 22.9%of all pregnancies in China for the years 2010-2017.Of all abortions,91.9%were used to terminate unintended pregnancies,and of unintended pregnancies,67.1%ended with induced abortions.The incidence of unintended pregnancy and that of induced abortion to terminate the unintended pregnancy were higher among women living in an urban rather than a rural area,having previously given birth to a boy,having a large number of children,being at the older end of their childbearing years,or having a shorter interpregnancy interval.Only 37.3%of women chose long-term contraceptive methods after an induced abortion caused by an unintended pregnancy;their sense of self-protection was not strong.It is neces-sary to strengthen education and advocacy,enhance women’s awareness of the pro-tection contraceptives offer,and improve the quality of and access to contraceptive services to reduce the incidence of unintended pregnancy,and reduce the incidence of induced abortion to terminate unintended pregnancy.
