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| 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 |
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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.
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2020, Vol. 26 
