摘要
Abstract
Objective:To investigate the efficacy of non in situ flrxible ureteroscopy holmium laser lithotripsy in the treatment of upper urinary tract stones.Method s:A total of 180 patients with upper urinary tract stones admitted to our hospital from March 2021 to February 2023 were retrospectively selected and divided into a non in situ group(non in situ ureteroscopy holmium laser lithotripsy,90 cases)and an in-situ group(in situ ureteroscopy holmium laser lithotripsy,90 cases)according to surgical methods.It was compared between the two groups in the surgical time,the decrease in hemoglobin on the first day after surgery,the immediate stone clearance rate after surgery,the visual analog scale(VAS)of postoperative pain,the length of hospital stay after surgery,the number of postoperative fever cases,the number of postoperative hematuria cases,the number of patients followed up at three months after surgery,the number of patients who received follow-up ultrasound,and the proportion of patients who were found to have ureteral dilation and hydronephrosis on the original side during the follow-up ultrasound.Result s:There was no significant difference between the two groups in terms of surgical time,first day postoperative hemoglobin decrease,immediate stone clearance rate,postoperative pain VAS,postoperative hospital stay,postoperative fever cases,postoperative hematuria cases,number of patients followed up at three months,number of patients who underwent follow-up ultrasound,and the proportion of patients who found ureteral dilation and hydronephrosis on the original side during follow-up ultrasound(P＞0.05).Conclusion:The efficacy of non in situ flexible ureteroscopic holmium laser lithotripsy is not significantly different from that of in situ ureteroscopic holmium laser lithotripsy,and mature physicians can choose their own surgical methods.关键词
软性输尿管镜/钬激光碎石术/上尿路结石/输尿管狭窄Key words
Ureteroscope/Holmium laser lithotripsy/Upper urinary tract stones/Ureteral stricture分类
临床医学
