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| Effect of Flexible Ureteroscope Holmium Laser Lithotripsy and Percutaneous Nephrolithotomy on Postoperative Inflammatory Response in Patients With Complex Upper Ureteral Calculi |
| Ma Pengde, Sha Wen, Ji Chuanbiao, Liu Lin, Lu Caiguang, Wu Xinwei, Huang Changming |
| Department of Urology,Puyang Oilfield General Hospital,Puyang 457000,China |
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Abstract Objective To explore the effects of flexible ureteroscope holmium laser lithotripsy and percutaneous nephrolithotomy on postoperative inflammatory response in patients with complex upper ureteral calculi. Methods Totally 70 patients with complex upper ureteral calculi admitted to this hospital were selected for retrospective analysis,and the patients were divided into flexible ureteroscope holmium laser lithotripsy group（the flexible ureteroscope group,35 cases）and percutaneous nephrolithotomy group（the nephroscope group,35 cases）.The effects of the two surgical methods and the influence on postoperative inflammatory response of patients were compared and analyzed. Results There were no significant differences in the incidence rates of postoperative blood loss and infection between the two groups（P>0.05）.The surgical time in the flexible ureteroscope group was significantly longer than that in the nephroscope group（P<0.05）,and the intraoperative blood loss and hospitalization cycle were significantly shorter than those in the nephroscope group（P<0.05）.Compared with before surgery,the peripheral blood white blood cell count（WBC）,C-reactive protein（CRP）,cortisol（Cor）,interleukin-6（1L-6）and interleukin-10（1L-10）in the two groups were significantly improved（P<0.05）,but the increases of various indicators of inflammatory response in the flexible ureteroscope group were significantly lower than those in the nephroscope group（P<0.05）. Conclusion Flexible ureteroscope holmium laser lithotripsy has milder body’ s inflammatory response than percutaneous nephrolithotomy in the treatment of complex upper ureteral calculi,and it can shorten the hospitalization cycle,and has less intraoperative blood loss and much safety.
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Received: 01 December 2020
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[1] 王凯,杨川.两种方法治疗复杂性肾结石的效果比较[J].检验医学与临床,2019,16(13):1935-1937.
[2] 李振,丁宏毅,吴正凯.肾结石经皮肾镜碎石取石术与开放手术的比较[J].中国临床研究,2019,32(6):810-812.
[3] 杨波,朱云海,周青.Ⅰ期微创经皮肾镜取石术与输尿管镜碎石取石术治疗上尿路结石疗效比较[J].临床军医杂志,2020,48(4):431-432.
[4] 王静,李凡.标准通道经皮肾镜取石术与微创经皮肾镜取石术治疗复杂性肾结石患者疗效研究[J].创伤与急危重病医学,2020,8(2):94-96.
[5] 李志家. 经皮肾镜碎石术与输尿管软镜碎石术治疗肾结石的疗效比较[J].浙江临床医学,2020,22(1):113-115.
[6] 周震,蒋宏毅.可视微通道经皮肾镜一期取石术联合逆行输尿管软镜钬激光碎石术治疗复杂性肾结石的临床研究[J].国际泌尿系统杂志,2020,40(1):76-79.
[7] 郑博坤,宋光太,杨凯,等.创伤性应激反应与炎症指标相关性[J].浙江创伤外科,2018,23(6):1217-1218.
[8] 舒彩. C反应蛋白作为术后恢复炎症标志物的价值分析[J].检验医学与临床,2020,17(1):136-139. |
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2021, Vol. 41 
