两种碎石疗法治疗输尿管结石对局部免疫因子水平的影响及与患者复发预后的关联研究

分析讨论输尿管镜激光碎石与体外冲击波碎石治疗输尿管结石对免疫因子水平的影响及与患者复发预后的关联研究。本研究选取确诊输尿管结石患者63例,比较两组患者3个月的结石排净率、并发症发生率和复发情况等,同时对尿中以TNF-α为代表的免疫因子水平进行相关讨论。TNF-α水平等级与术后复发情况进行相关分析,提示体外碎石组TNF-α水平增高与复发呈现正相关,但p值临界0.05水平。两种碎石方法在输尿管结石治疗中各有千秋,体外碎石组创伤及炎症反应状态优于激光碎石组,但一旦发生炎症病例的复发风险高。

Effect of two kinds of lithotripsy on ureteral calculi on immune factor and its association with relapse prognosis

To analyze the influence of ureteroscopic lithotripsy and extracorporeal shock wave lithotripsy on the level of immune factors and the correlation with recurrence and prognosis of ureteral calculi.63 cases of ureteral calculi were selected in this study. The rate of calculi, the incidence of complications and the recurrence of the two groups of patients were compared for 3 months. At the same time, the level of the immune factor represented by TNF- alpha in urine is discussed. Then study conducts correlation analysis of TNF- alpha level and postoperative recurrence,but the critical 0.05 level of the p value.The two methods of lithotripsy are different in the treatment of ureteral calculi,the trauma and inflammatory response of the extracorporeal lithotripsy group were better than the laser lithotripsy group,but the risk of relapse in the case of inflammation is high.