Application of modified syringe water injection method with self-made three-way tube and blood transfusion set in FURL
Objective:To observe the outcomes of modified syringe water injection method with self-made three-way tube and blood transfusion set applied to flexible ureteroscope holmium laser lithotripsy(FURL).Methods:480 patients with urinary calculi undergoing FURL in our hospital were included from January 2021 and December 2022,and randomized to control group and observational group(n=240 for each group)according to the even or odd digital number at admission.Patients with even number were included in the control group and received conventional syringe water injection,and those in the observational group(with odd number)were managed with modified syringe water injection method with self-made three-way tube and blood transfusion set method.The two groups were compared regarding the incidence of complications,doctor's satisfaction rate,intraoperative moisture rate of surgical instrumentsand operation duration.Results:The incidences of systemic inflammatory response syndrome,urinary tract irritation syndrome and other complications were lower in the observational group than in the control group(P<0.05).Doctor's satisfaction rate of the observational group was significantly higher than that of the control group(89.29%vs.60.71%,P<0.05).The intraoperative moisture rate of surgical instruments of the observational group was significantly lower(4.16%vs.91.67%,P<O.05).The operation duration,average days of hospital stay,average water injection volume and hospitalization expenses of the observational group were significantly shorter and lower than those of the control group(P<0.05).Conclusion:The modified syringe water injection method with self-made three-way tube and blood transfusion set in FURL can reduce the incidence of postoperative complications,the moisture rate of surgical instruments,the intraoperative water injection and the hospitalization expenses,shorten the operation time and improve doctor's satisfaction rate,which has a positive effect on improving the overall treatment effect.