Clinical effect and perioperative nursing of holmium laser lithotripsy under ureteroscope in the treatment of isolated kidney stones

Abstract

Objective To study the clinical effect and perioperative nursing of holmium laser lithotripsy under ureteroscope (PCUL) in the treatment of isolated kidney stones. Methods A total of 32 patients with isolated kidney stones were selected and their calculus were removed by using PCUL and meticulous perioperative nursing. Operation time, bleeding volume and stone clearance rate were observed; renal function changes before and 2 weeks after surgery were compared; anxiety and depression psychological state and pain before and after nursing were assessed; adverse events before and after nursing were recorded. Results The mean operative time was (89.7±2.18) min; average bleeding volume was (22.8±0.95) mL; totally 30 patients with stone clearance and the clearance rate was 93.75%; The levels of blood urea nitrogen (BUN) and serum creatinine (Scr) were significantly reduced 2 weeks after surgery (P<0.01); Creatinine (Ccr) rate was decreased slightly; The scores of anxiety, depression and pain were significantly reduced after nursing (P<0.01). The cases of hematuria, back pain, bladder irritation and infections were significantly reduced. Conclusions PCUL is safe and effective for the treatment of isolated kidney stones with high stone clearance rate, and combined with meticulous perioperative nursing can significantly improve patients′ anxiety and depression; reduce the incidence of postoperative complications and adverse events, and promote early recovery. It′s worthy of clinical use. Key words: Perioperative nursing; PCUL; Isolated kidney stones