Clinical application of ureteroscopic lithotripsy in upper urinary tract stones
输尿管软镜碎石术在上尿路结石的临床应用研究

摘要

目的 研究本医院上尿路结石患者行输尿管软镜碎石术的效果。方法 基于两组对照形式（观察组与对照组），采取随机数字表法，将在本医院2022年6月至2024年6月期间于本医院收治的上尿路结石患者140例作为研究对象，并进行分组，每组70例患者，对照组采取常规经皮肾镜碎石取石术，观察组采取输尿管软镜碎石术。从而明确观察组与对照组不同手术方式下的时间指标，结石清除情况，术后安全性，患者术后的疼痛感。结果 采用输尿管软镜碎石术的观察组患者各项时间指标均有所缩短，术中出血量有明显减少（P＜0.05）；观察组患者采用输尿管软镜碎石术后疼痛感有显著改善（P＜0.05）；与对照组相比较，观察组的结石清除率更高，术后复发率低于对照组（P＜0.05）。结论 本研究通过比较不同手术方式治疗上尿路结石患者的效果，发现采用输尿管软镜碎石术患者恢复效率提升，速度加快，减少术中出血量，降低术后复发率，有效缓解术后疼痛。

Abstract

Objective To explore the clinical application effect of ureteroscopic lithotripsy in upper urinary tract stones.
Methods Based on two groups (observation group and control group), a random number table method was used to study 140 patients with upper urinary tract stones who underwent ureteroscopic lithotripsy in our hospital from June 2022 to June 2024. The patients were divided into two groups, with 70 patients in each group. The control group underwent conventional percutaneous nephrolithotomy, while the observation group underwent ureteroscopic lithotripsy. Compare the surgical time, intraoperative bleeding and hospitalization time, stone clearance rate, incidence of postoperative complications, and postoperative pain score between the two groups of patients.
Results In the observation group undergoing flexible ureteroscopic lithotripsy, all time-related parameters were shortened, and intraoperative blood loss was significantly reduced (P<0.05); The postoperative pain assessment of the observation group (24h, 48h, and 72h after surgery) was significantly lower than that of the control group (P<0.05); Compared with the control group, the observation group exhibited a higher stone clearance rate and a lower postoperative recurrence rate than the control group (P<0.05).
Conclusion   This study compared the efficacy of different surgical approaches for treating patients with upper urinary tract calculi and found that patients undergoing flexible ureteroscopic lithotripsy experienced improved recovery efficiency and faster recovery rates, reducing intraoperative bleeding, lowering postoperative recurrence rate, and effectively relieving postoperative pain.