Effect of transurethral ureteroscopic holmiumlaser lithotripsy on ureteral calculi
10.11659/jjssx.11E017030
- VernacularTitle:经尿道输尿管镜下钬激光碎石术治疗输尿管结石的临床疗效观察
- Author:
Jian-Yu WANG
1
;
Zong-Yang HU
;
Chao-Fa TAO
;
Kai-Fang YOU
;
Hao CHEN
;
Yan GUO
Author Information
1. 攀枝花学院附属医院泌尿科
- Keywords:
ureteral calculi;
urethral microscopy;
holmium laser lithotripsy;
pneumatic lithotripsy
- From:
Journal of Regional Anatomy and Operative Surgery
2018;27(1):44-46
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effect of the transurethral ureteroscopic holmiumlaser lithotripsy in the treatment of ureteral calculi.Methods This study conducted a retrospective analysis of 205 patients with ureteral calculi from September 2015 to June 2017 in the affiliated hospital of Panzhihua university.According to the surgical method,all the patients were divided into control group (102 cases) who were treated with conventional pneumatic lithotripsy and observation group(103cases) who received transurethral ureteroscopic holmiumlaser lithotripsy.The surgical efficacy,renal function indexes and surgical indexes of the two groups were compared and analyzed respectively.Results The total effective rate of observation group was 97.06％,the control group was 85.00％,the difference between two groups was significantly(P ＜ 0.05).There was no significant difference in Cr and BUN level before surgery between two groups (P ＞ 0.05);after treatment,the Cr and BUN levels of two groups were improved significantly (P ＜ 0.05);while the renal function improved index of observation group was significantly better than that of control group,the difference was significant(P ＜ 0.05).The intraoperative blood loss,operative time and postoperative hospital stay of the observation group were significantly lower than those of control group (P ＜ 0.05).Conclusion The transurethral ureteroscopic holmiumlaser lithotripsy and normal air pressure ballistic were both well treatment for ureteral calculi,but patients with the holmium laser lithotripsy have better renal function indexes and operation index.
