Abstract
Objectives To determine the curative effect of complex ureteral calculi by three minimally invasive surgical treatment. Methods A retrospective analysis of clinical data of 285 cases with the complex ureteral calculi in our hospital from January 2010 to January 2014.According to surgical method, and cases were divided into three groups, 58 cases in the FURS group, 118 cases and 109 cases were in the MPCNL group and the LU group respectively.The operative time, postoperative hospital stay, hospital costs, postoperative indwelling D–J tube time, stone–free rate after three days net, stone–free rate after one month, the number of cases of postoperative adjuvant extracorporeal shock wave(ESWL) treatment, the incidence of postoperative complications were observed among the three groups. Results The stone–free rate of patients on the complex ureteral calculi segment net after three days among the three groups were 98.3%(FURS group), 88.1%(MPCNL group), 94.4%(LU group) respectively.The stone–free rate of patients in the MPCNL group after three days significantly lower than FURS group (P 0.05). Patients in the MPCNL and LU groups, the operative time, length of hospital stay was significantly increased compared with patients in the FURS group, while hospital costs was significantly less, and with a higher incidence of postoperative complications, the difference was statistically significant(P 0.05). Conclusions We should select the appropriate and desirable individual minimally invasive treatment options for complex ureteral calculi according to the patient's overall situation. Moreover, flexible ureteroscope holmium laser lithotripsy treatment with high efficiency and safety advantages, it is worth the promotion and application of clinical. Key words: Ureteral Calculi; Surgical Procedures, Minimally Invasive
Published Version
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