發(fā)布時(shí)間：2018-05-29 05:59

  本文選題：輸尿管軟鏡 + 經(jīng)皮腎鏡�。� 參考：《中國內(nèi)鏡雜志》2015年09期

【摘要】：目的探討輸尿管軟鏡碎石術(shù)(DURL)和經(jīng)皮腎鏡碎石術(shù)(PCNL)治療2 cm腎結(jié)石對(duì)機(jī)體的應(yīng)激反應(yīng)。方法選擇80例2 cm腎結(jié)石患者,分為兩組:輸尿管軟鏡手術(shù)組40例(Ⅰ組),經(jīng)皮腎鏡手術(shù)組40例(Ⅱ組)。分別于術(shù)前、術(shù)后1 h、術(shù)后第1、3和5天采取患者外周靜脈血,測(cè)定白細(xì)胞介素-6(IL-6)、白細(xì)胞介素-10(IL-10)、皮質(zhì)醇(Cor)、白細(xì)胞(WBC)和C反應(yīng)蛋白(CRP)含量并進(jìn)行比較。結(jié)果Ⅰ組與Ⅱ組患者圍手術(shù)期IL-6、IL-10、Cor和WBC均于手術(shù)后1 h達(dá)高峰,CRP于術(shù)后第1天達(dá)高峰,較術(shù)前均有統(tǒng)計(jì)學(xué)意義(P0.05),但前者峰值較低。結(jié)論 1手術(shù)創(chuàng)傷可引起炎性因子的釋放增加,抗炎性細(xì)胞因子的分泌也隨之增加;2輸尿管軟鏡碎石術(shù)較經(jīng)皮腎鏡碎石術(shù)治療腎結(jié)石對(duì)機(jī)體的應(yīng)激反應(yīng)小,術(shù)后恢復(fù)更快。
[Abstract]:Objective to investigate the stress response of ureteral soft lithotripsy (DURL) and percutaneous nephrolithotripsy (PCNL) in the treatment of 2 cm renal calculi. Methods Eighty patients with 2 cm renal calculi were divided into two groups: soft ureteroscopy group (40 cases) (group 鈪，

本文編號(hào)：1949763