Comparison of the Effects of Stone Basket and Occluder in the Treatment of Upper Ureteral Calculi by Ureteroscopic Holmium Laser Lithotripsy
Objective:To investigate the clinical effect of stone basket and occluder in the treatment of upper ureteral calculi by ureteroscopic holmium laser lithotripsy(URL).Method:A total of 96 patients with upper ureteral calculi admitted to Dongguan Hengli Hospital from April 2021 to April 2023 were selected,they were divided into URL group,URL+occluder group and URL+reticular basket group according to random number table method,with 32 cases in each group.The URL group received URL treatment,the URL+occluder group received URL combined with occluder treatment,and the URL+reticular basket group received URL combined with reticular basket treatment.Perioperative indexes,stone removal effect,serum and urine inflammation levels and renal pelvis water volume were compared between the three groups;the postoperative complications were recorded.Result:The hospital stay of the URL group was longer than that of the URL+reticular basket group and URL+occluder group,the operation time was shorter than that of the URL+reticular basket group and URL+occluder group,the stone clearance rate was lower than that of the URL+reticular basket group and URL+occluder group,and the stone escape rate was higher than that of the URL+reticular basket group and URL+occluder group,the differences were statistically significant(P<0.05).Three months after surgery,serum and urine tumor necrosis factor-α(TNF-α),C-reactive protein(CRP),and interleukin-6(IL-6)levels in URL group were higher than those in URL+reticular basket group and URL+occluder group,and the differences were statistically significant(P<0.05).Three months after surgery,the renal pelvis water volume in URL group was higher than that in URL+reticular basket group and URL+occluder group,and the difference was statistically significant(P<0.05).The total incidence of postoperative complications in URL group was higher than that in URL+reticular basket group and URL+occluder group,and the difference was statistically significant(P<0.05).Three month after surgery,there were no statistical differences in serum and urine TNF-α,CRP,IL-6,renal pelvis water volume and total incidence of postoperative complications between the URL+reticular basket group and the URL+occluder group(P>0.05).Conclusion:The clinical effect of reticular basket and occluder used in URL treatment of upper ureteral calculi is similar,both can effectively improve stone clearance rate,reduce inflammatory reaction,reduce renal pelvis water volume and complication rate.
Stone basketOccluderUreteroscopic holmium laser lithotripsyUpper ureteral calculi
国家科技期刊平台
NSTL
万方数据
维普
