|
|
Comparison of the Effects of Ureteroscopic Holmium Laser Lithotripsy and Partial Tubeless Percutaneous Nephrolithotripsy on Postoperative Recovery of Upper Urinary Calculi |
WANG Peng, LENG Guoxiong, QUAN Liangming |
Huangshan People's Hospital/Affiliated Hospital of Wannan Medical College, Anhui Huangshan245000, China |
|
|
Abstract Objective: To compare the effect of ureteroscopic holmium laser lithotripsy and partial tubular percutaneous nephrolithotripsy on patients with upper urinary calculi and their postoperative rehabilitation. Methods: 131 patients with upper urinary tract calculi admitted to our hospital from August 2016 to may 2019 were analyzed retrospectively. According to the operation methods, they were divided into group A (69 cases) with ureteroscopic holmium laser lithotripsy (holmium laser lithotripsy) and group B (62 cases) with tubeless holmium laser lithotripsy (holmium laser lithotripsy); the operation time and postoperative hemoglobin (hemoglobin) of the two groups were observed, HB, white blood cell (WBC), average hospitalization time, lithotripsy clearance rate at 2 days, 15 days and 1 month after operation, and postoperative complications were recorded and compared. Results: The operation time of group A was significantly longer than that of the group B, and the postoperative hospitalization time was significantly shorter than that of group B, and the difference was statistically significant (P<0.05). Levels of white blood cells and hemoglobin were compared, and the difference was not statistically significant (P<0.05). Lithotripsy clearance rates at 2 days, 15 days and 1 month after operation were compared, and the difference was statistically significant (P<0.05). There were no serious complications such as infection, septic shock and sepsis in both groups after operation. The incidence of fever in group B was significantly higher than that in group A, and the difference was statistically significant (P<0.05). Conclusion: Ureteroscopic holmium laser lithotripsy and partial tubeless percutaneous nephrolithotripsy have better effect on patients with upper urinary calculi, but the incidence of postoperative complications in the former patients is lower.
|
|
|
|
|
[1] Flora R, Giles R, Omar?M. A . Diagnostic accuracy of low and ultra-low dose CT for identification of urinary tract stones: a systematic review[J]. Urologia Internationalis, 2018, 100(4):375~385. [2] 楼志宏.多层螺旋CT尿路成像技术诊断输尿管结石的应用分析[J].医学影像学杂志,2018,28(8):1406~1408. [3] 陈晨,王臣,李子良,鲁可权.组合式输尿管软镜联合钬激光碎石术与经皮肾镜碎石术治疗肾结石对比研究[J].河北医学,2018,24(8):1358~1362. [4] Villa L, Haddad M, Capitanio U,et al. Which patients with upper tract urothelial carcinoma can be safely treated with conservative treatment by flexible ureteroscopy with Holmium:YAG laser photoablation? Long-term results from a high-volume institution.[J]. journal of urology, 2018, 199(1):66~70. [5] Talati V, Soares R D O, Nadler R, et al. MP13~14 Trends in urinary calculi composition from 2005~2015: a single-tertiary center study[J].The Journal of Urology,2018,199(4):176~177. [6] Wei Y P, Lin X G, He R Q, et al. Epidemiologic association of nonalcoholic fatty liver disease and urinary calculi: a population-based cross-sectional study in southern China[J]. Iranian journal of kidney diseases, 2018, 12(2):112~119. [7] 林海利,郑周达,刘洪杰,等.输尿管软镜碎石术治疗孤立肾上尿路结石36例[J].中国微创外科杂志,2018,18(10):878~880. [8] 马楠,李虎,黄志强,等.尿路结石并发感染患者尿液亚硝酸盐与白细胞检测分析[J].实用临床医药杂志,2018,22(17):68~74. [9] 庄剑秋,陈元贵,褚健,等.即刻引流对上尿路结石伴感染的临床意义[J].国际泌尿系统杂志,2018,38(6):962~964. [10] 李天,孙祥宙,盛明,等.输尿管软镜负压鞘在输尿管软镜治疗感染性肾结石术中的应用[J].实用医学杂志,2018,34(1):79~82. [11] Bozzini G, Roche J B, Otero J R, et al. “VaporTunnel” ureteroscopic holmium laser lithotripsy: Intraoperativa and early postoperative outcomes[J]. European Urology Supplements,2019,18(1):494~498. |
|
|
|