Efficacy and safety of ureteroscopic holmium laser lithotripsy and pneumatic lithotripsy for complex ureteral calculi

Abstract

Objective To compare the effect of ureteroscopic holmium laser lithotripsy and pneumatic lithotripsy on the curative effect and safety of complicated ureteral calculi, so as to provide evidence for surgical treatment of complex ureteral calculi. Methods A total of 104 patients with complicated ureteral calculi admitted in our hospital from May 2015 to May 2017 were enrolled in this study. The patients were divided into two groups according to the random number table method each 52 cases. The control group was treated by ureteroscopy combined with pneumatic lithotripsy. The observation group was treated by ureteroscope combined with holmium laser lithotripsy. Statistical analysis was carried out with SPSS 18.0. The operative time, intraoperative blood loss, postoperative hospital stay and complete discharge time of the two groups were analyzed. Results The success rate of operation in the observation group was higher than that in the control group, the difference was statistically significant (P<0.05), the clinical indicators in the observation group were better than those in the control group, and the incidence of postoperative complications in the observation group was lower than that in the control group, with a statistically significant difference (P<0.05). Conclusions Compared with ureteroscopy combined with pneumatic lithotripsy, ureteroscopy combined with holmium laser lithotripsy for complex ureteral calculi curative effect is better, can shorten the complete discharge time of stone and hospital stay, reduce intraoperative bleeding, reduce the incidence of complications, More safe and reliable, it is worth clinical promotion. Key words: Ureteral Calculi; Ureteroscopy; Lasers, Solid-State; Holmium; Lithotripsy, Laser