| Objective: To compare the effect of using ureter soft mirror holmium holmium laser lithotripsy,ureter soft mirror holmium laser and NTrap net basket to treat upper ureteral calculi,to explore the safety and effectiveness of holmium laser combined with NTrap net basket for the future clinical development of reasonable lithotripsy program Provide reference basis.Methods: From January to December 2019,102 patients with upper ureteral calculi undergoing surgery in our hospital were selected as the research object.According to the random number table method,it was divided into reference group and research group,each with 51 cases.Patients in the reference group were treated with holmium laser lithotripsy alone,and patients in the study group were treated with holmium laser lithotripsy combined with NTrap baskets.Observation and analysis of the following indicators of the two groups of patients:(1)Surgical indicators: duration of surgery,intraoperative blood loss,hospital stay after surgery.(2)The removal effect of stones: the success rate of one-time stone crushing,the upward rate of stones,and the removal rate of stones in 30 days.(3)Complication rate: ureter avulsion,ureter perforation,ureter rupture,hematuria,infection and other complications.(4)Long-term follow-up: All patients were followed up for 1 year,and the recurrence rate of stones after 6 months and 1 year was counted.(5)Quality of life: The quality of life of the two groups of patients was evaluated using SF-36 scale as a tool before operation,6 months and 1 year after operation.Results: In the reference group,1 case was lost to follow-up and 1 case actively applied for withdrawal.A total of 49 cases completed the study.In the study group,2 cases were lost to the study and a total of 49 cases completed the study.Comparison of various indicators:(1)Surgical indicators: There was no significant difference in the operation time(41.84±10.15vs40.69±8.45),intraoperative blood loss(6.69±1.36vs6.22±1.25),and hospital stay(2.31±0.51vs2.27±0.70)between the two groups of patients(P>0.05).(2)Stone removal effect: The success rate of one-time stone crushing in the study group was higher than that in the reference group(95.92% vs 81.63%),the rate of stone uplift was lower than that in the reference group(2.04% vs 18.37%),and the stone removal rate was high in 30 days In the reference group(97.96% vs 79.59%),the differences were significant(P<0.05).(3)Complication rate: The complication rate of the study group was lower than that of the reference group(2.04% vs 14.28%),the difference was significant(P>0.05).(4)Long-term follow-up: The recurrence rate of the study group at 6 months and 1 year was lower than that of the reference group(0.00% vs 8.16%,0.00% vs 14.29%),the difference was significant(P>0.05).(5)Quality of life: Before operation,there was no significant difference between the SF-36 scores of the study group and the reference group(64.39±8.00vs65.14±7.39,P>0.05);6 months and 1 year after surgery,the SF-36 score of the study group was higher than the reference group(93.02±5.06vs82.63±5.40、94.20±3.95vs88.31±7.07),the difference was statistically significant(P<0.05).Conclusion: The treatment of upper ureteral calculi with ureteroscope holmium laser combined with NTrap net basket can improve the effect of lithotripsy,reduce complications,reduce the risk of long-term recurrence,and improve the quality of life of patients. |
PDF Full Text Request