Curative Effect Observation on Ureteroscopic Holmium Laser Lithotripsy Combined with Occluder in Treatment of Upper Ureteral Stones
Objective To explore clinical effect of ureteroscopic holmium laser combined with occluder in treatment of upper ureteral stones,and provide reference for selection of minimally invasive surgical methods in clinical treatment of upper ureteral stones.Methods The paper reviewed and studied clinical data of 106 patients with upper ureteral stones with ureteroscopic holmium laser and occluder treatment in urology department of our hospital from June 2021 to June 2023.Surgical time,stone migration rate,stone clearance rate,and postoperative complications of patients were statistically analyzed.Results Lithotripsy 94 cases was one-time successful,5 cases moved back to kidneys and removed after RIRS,for 7 cases not being able to insert ureteroscopy for ureteral stenosis,3 cases were treated with PCNL,4 cases with second stage ureteroscopy for stone removal after passive dilation of ureteral stent,15 cases with postoperative complications including fever,obvious hematuria and lower back and abdominal pains,were relieved after symptomatic treatment,with no severe ureteral injury.Conclusion Ureteroscopic holmium laser lithotripsy combined with occluder can reduce intraoperative stone migration rate,significantly improve stone removal effect,and reduce probability of secondary surgery of patients with upper ureteral stones,which is worthy of promotion and application widely in clinical practice.
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