Effect of Retroperitoneal Laparoscopic Ureterolithotomy in the Treatment of Incarcerated Upper Ureteral Calculi and Its Influence on Renal Func-tion
Objective To investigate the effect of retroperitoneal laparoscopic ureterolithotomy(RLU)on renal function in the treatment of incarcerated upper ureteral calculi.Methods 64 patients with incarcerated upper ureteral calculi who underwent surgical treatment in the 907 Hospital of the Joint Logistic Support Force of the People's Liberation Army from March 2020 to April 2022 were conveniently selected as the study objects and were divided into two groups by coin toss method.Among them,32 patients treated by RLU were set as observation group,and the control group(n=32)was treated by minimally invasive percutaneous nephrolithotripsis.The calculi clearance rate,operative indexes,length of hospital stay,renal function indexes and complication rate were compared between the two groups.Results The stone clearance rate in the observation group was 100.00%,which was higher than 87.50%in the control group,and the difference was statistically significant(χ2=4.267,P<0.05).The intraoperative blood loss in the observa-tion group was significantly reduced compared with the control group,and the length of hospital stay and operation time were significantly shortened compared with the control group,and the differences were statistically significant(all P<0.05).The levels of renal function indexes in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion In the clinical treatment of incarcerated upper ureteral calculi,RLU is a safe and effective treatment,which has a high stone clear-ance rate,can reduce surgical trauma,shorten hospital stay,reduce renal damage,and help reduce the incidence of complications.
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NSTL
万方数据
维普
