| Objective:To compare and analyze the method and clinical efficacy of standard single-channel percutaneous nephroscope combined with 11-stage disposable ureteral endoscopy catheter in the treatment of staghorn kidney stones in the next stage under ultrasound guidance.Discuss the advantages and disadvantages of the two treatment methods,and provide relevant basis for clinical treatment.Methods:A retrospective analysis of 71 patients with complicated kidney stones admitted to our hospital from November 2018 to December 2020 were divided into observation group(37 cases)and control group(34 cases),According to different operation method,divided into the observation group(37 cases)and control group(34 cases)and observation group for the first operation line standard channel percutaneous nephroscope,do disposable soft ureter mirror after second operation,the control group in the treatment of dual channel percutaneous nephroscope,used statistical methods to analyze and compare the two groups of patients with preoperative data such as gender,age,type,the stones size,preoperative related biochemical indicators,preoperative statistical difference,followed by comparative analysis of two groups of postoperative calculi clearance rate,perioperative creatinine change and the decrease of the hemoglobin value,surgery,surgery,and length of hospital stay,postoperative complications,such as a result,The safety and therapeutic effect of the operation were evaluated.Results:Both groups of patients successfully completed stone treatment under the operation of the same surgeon.Compared with the clinical indicators of the control group,There were significant differences in pre-operative and post-operative hemoglobin decline(6.4±1.8g/ L vs 9.7±3.2g/ L),operative time(118.1±28.5min vs 102.3±13.3 min),postoperative complications(8.1% vs 11.8%),Transfusion rate(0 vs2.9%),hospitalization cost(45782.71±1762.78 yuan vs 33827.26±1545.72 yuan)and time(12.6±2.1 days vs 7.45±1.97 days)(P>0.05).There was no significant difference in stone clearance rate(94.6% vs 91.2%)and serum creatinine value before and after operation in each group(P > 0.05).Conclusion:The change of hemoglobin in the observation group during perioperative period was smaller,and there is no statistical significance in the changes of blood creatinine,complications such as fever and stone clearance rate between the two groups,and both groups have achieved satisfactory clinical efficacy.The control group had more advantages in terms of operation time,hospitalization cost and length of stay. |
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