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| Comparison of the Curative Effect of Minimally Invasive Percutaneous Nephroscopy combined with Ureteroscopy in the treatment of Complicated Upper Ureteral Calculi |
| FAN Xueyong |
| Chaoyang Central Hospital, Liaoning Chaoyang 122000, China |
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Abstract Objective: To compare the curative effect of minimally invasive percutaneous nephroscope combined with ureteroscope for the treatment of complicated upper ureteral calculi. Methods: 70 patients with complicated upper ureteral calculi in our hospital from January 2016 to December 2018 were selected and randomly divided into the control group for minimally invasive percutaneous nephrolithotomy and the research group for combined ureteral soft and hard laparoscopy, with 35 cases in each group. The perioperative indicators, stone clearance rate, serum inflammatory factor level and postoperative complications were compared between the two groups. Results: The amount of blood loss in the study group was significantly reduced compared with the control group, the operation time was significantly prolonged compared with the control group, and the length of hospital stay was significantly shortened compared with the control group (P<0.01). The stone clearance rate (94.29%) in the study group was significantly higher than that in the control group (71.43%) (P<0.05). However, there was no significant difference in the stone clearance rate (100.00% vs. 91.43%) between the two groups at 12 weeks after surgery (P>0.05). Serum levels of C-reactive protein (CRP) and interleukin-6 (IL-6) were significantly higher in the two groups one week after surgery than those before surgery, while serum levels of CRP and IL-6 in the study group were significantly lower than those in the control group (P<0.01). There was no significant difference in the incidence of postoperative fever, pyelonephritis and low back pain between the two groups (P>0.05). Conclusion: Compared with minimally invasive percutaneous nephroscopy, combined ureteroscopy with soft and hard ureteroscopy can effectively improve the treatment effect of patients with complicated upper ureteral calculi, with significant clinical efficacy, and can alleviate the inflammatory reaction of the body, with good efficacy and safety, so it is worthy of clinical application.
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2019, Vol. 25 
