改良输尿管软镜碎石术支架管留置方法的应用研究

Clinical application of an improved indwelling method of ureteral stent placement in modified flexible ureteroscopic lithotripsy

摘要:

目的 探讨改良输尿管软镜碎石术支架管留置方法的可行性及安全性。方法 回顾性分析2021年6月－2023年10月于该院行输尿管软镜碎石术，并在术中留置输尿管支架管的60例患者的临床资料。其中，传统硬镜法留置30例，改良软镜法留置30例。观察两组的放管时间、输尿管支架管是否在位、术后疼痛评分和术后血尿程度。结果 改良软镜法留置支架管放管时间较传统方法短，差异有统计学意义（P < 0.05）。两组输尿管支架管是否在位、术后疼痛评分和术后血尿程度比较，差异均无统计学意义（P > 0.05）。结论 改良软镜法留置支架管可操作性强，且安全且有效。值得临床推广应用。

Abstract:

Objective To investigate the feasibility and safety of an improved method for indwelling ureteral stent placement during flexible ureteroscopic lithotripsy.Methods A retrospective analysis was conducted on the clinical data of 60 patients who underwent flexible ureteroscopic lithotripsy with indwelling ureteral stents from June 2021 to October 2023. Among them, thirty cases received traditional stent placement, while another 30 cases received modified stent placement under the improved flexible ureteroscope. The differences in operation time, stent position, postoperative pain score, and postoperative hematuria degree were analyzed between the two groups.Results The operation time of the improved stent placement method was significantly shorter than the traditional method, the difference was statistically significant (P < 0.05). No significant differences were found between the two groups in stent position, postoperative hematuria degree, and postoperative pain score (P > 0.05).Conclusion The improved method for ureteral stent placement during flexible ureteroscopic lithotripsy is feasible, safe, and reliable, worthy of clinical promotion.