目的:分析智能控压下输尿管硬镜联合软镜吸引取石术在复杂性肾结石患者中的效果.方法:选取 2021 年 4 月—2023 年 4 月赣州市人民医院收治的 100 例复杂性肾结石患者,按随机数字表法分为对照组和观察组,各 50 例.对照组行微创经皮肾镜碎石术,观察组行智能控压下输尿管硬镜联合软镜吸引取石术.对比两组围手术期指标、结石清除情况、生活质量及并发症.结果:观察组手术时间为(79.69±7.59)min,长于对照组的(57.21±6.05)min;住院时间为(4.16±0.69)d,短于对照组的(6.59±1.38)d;术后 24 h的视觉模拟评分法(VAS)评分为(2.35±0.36)分,低于对照组的(3.21±0.56)分;观察组并发症总发生率为 4.00%(2/50),低于对照组的 18.00%(9/50);观察组结石清除率为 96.00%(48/50),高于对照组的 84.00%(42/50),差异均有统计学意义(P<0.05).术前,两组生活质量综合评定问卷-74(GQOLI-74)各维度评分相比,差异均无统计学意义(P>0.05);术后 1 个月,观察组GQOLI-74 中的社会功能、心理功能、躯体功能评分均高于对照组,差异均有统计学意义(P<0.05);两组物质生活状态评分相比,差异无统计学意义(P>0.05).结论:智能控压下输尿管硬镜联合软镜吸引取石术治疗复杂性肾结石患者效果显著,能够缩短住院时间,可有效清除患者体内结石,减轻术后疼痛,利于提升生活质量,减少并发症.
Objective:To analyze the effect of rigid ureteroscope combined with flexible ureteroscope suction lithotomy under intelligent control pressure in the treatment of complex renal calculus.Method:A total of 100 patients with complex renal calculus admitted to Ganzhou People's Hospital from April 2021 to April 2023 were selected and divided into the control group and the observation group according to the random number table method,with 50 cases in each group.The control group was treated with minimally invasive percutaneous nephrolithotomy,and the observation group was treated with rigid ureteroscope combined with flexible ureteroscope suction lithotomy under intelligent control pressure.The perioperative indicators,stone clearance,quality of life and complications were compared between the two groups.Result:The operation time was(79.69±7.59)min in the observation group,which was longer than(57.21±6.05)min in the control group;the hospitalization time of the observation group was(4.16±0.69)d,which was shorter than(6.59±1.38)d of the control group;the visual analogue scale(VAS)score of 24 h after operation was(2.35±0.36)points,which was lower than(3.21±0.56)points of the control group;the total incidence of complications in the observation group was 4.00%(2/50),which was lower than 18.00%(9/50)in the control group;the stone clearance rate was 96.00%(48/50)in the observation group,which was higher than 84.00%(42/50)in the control group,the differences were statistically significant(P<0.05).Before operation,there were no statistically significant differences in the scores of each dimension in the general quality of life inventory-74(GQOLI-74)between the two groups(P>0.05),1 month after operation,the scores of social function,psychological function and physical function in GQOLI-74 of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).There was no significant difference in the score of material life status between the two groups(P>0.05).Conclusion:The effect of rigid ureteroscope combined with flexible ureteroscope suction lithotomy under intelligent control pressure is significant in the treatment of complex renal calculus,which can shorten the length of the hospitalization time,effectively remove calculus in the patient's body,reduce postoperative pain,improve the quality of life,and reduce complications.