Treatment Effect of Upper Ureteral Calculi and Renal Calculi by Electronic Ureteroscopic Laser Lithotripsy with Second Stage
Objective:To analyze the treatment effect of upper ureteral calculi and renal calculi by electronic ureteroscopic laser lithotripsy with second stage.Method:A total of 200 patients with upper ureteral calculi and renal calculi who needed to undergo second stage surgical treatment in Qingyang People's Hospital from January 2021 to June 2023 were selected as the subjects.The patients were divided into observation group and control group by numerical arrangement,with 100 cases in each group.The control group was treated with percutaneous nephrolithotripsy laser lithotripsy,and the observation group was treated with electronic ureteroscope laser lithotripsy.The calculi treatment effect,operation related indexes,renal function indexes,inflammation indexes and postoperative complications were compared between the two groups.Result:There were no significant differences in stone clearance at 3 d and 7 d after operation and reoperation rate between the two groups(P>0.05).The operative blood loss and 24 h visual analogue scale(VAS)score of the observation group were lower than those of the control group,and the operative time was longer than that of the control group,the differences were statistically significant(P<0.05).The blood urea nitrogen(BUN),serum creatinine(Scr),β2-microglobulin(β2-MG)in the observation group were lower than those in the control group at 24 h after operation,and the differences were statistically significant(P<0.05).The interleukin-6(IL-6),procalcitonin(PCT),tumor necrosis factor-α(TNF-α),C-reactive protein(CRP)in the observation group were lower than those in the control group at 24 h after operation,and the differences were statistically significant(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:Second stage percutaneous nephrolithotripsy laser lithotripsy and electronic ureteroscope laser lithotripsy have better efficacy in the treatment of upper ureteral calculi and renal calculi.But the latter has better surgical safety,less intraoperative blood loss,lower postoperative VAS score,and little influence on renal function and inflammation indicators,which is conducive to reducing surgical injury.
Upper ureteral calculiRenal calculiSecond stage surgeryElectronic ureteroscopeLaser crushed stoneRenal function
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维普
