Comparative Analysis of the Efficacy of Ureteroscope Combined with Extracorporeal Shock Wave Stone Removal and Partial Tubeless Percutaneous Nephrolithotomy for Complex Staghorn Calculi
GAO Fei,ZHANG He,XU Ping
Abstract:
Objective To explore and analyze the efficacy and clinical significance of ureteroscopy combined with extracorporeal shock wave debridement and partial tubeless percutaneous nephrolithotomy for complex staghorn calculi. Methods 100 patients with complex staghorn calculi who were diagnosed in our hospital from December 2017 to July 2019 and who met the criteria for selection were randomly selected and divided into two groups. Reference group: partial tubeless percutaneous nephrolithotomy was performed. After the operation, the double J tube was placed, and the renal fistula was not left. The puncture of the skin was directly sutured.Treatment group: ureteroscopy combined with extracorporeal impact lithotripsy. Postoperative analysis of the two groups of patients with surgery, postoperative VAS scores and total effective rate of treatment. Results Compared with the reference group, the operation was significantly better than the reference group, and the difference was statistically significant (P <0.05). The VAS score was significantly lower than the reference group at 6h after surgery and on the first day after surgery. The difference was statistically significant (P <0.05).The total effective rate of stone treatment was significantly higher than that of the reference group, and the difference was statistically significant (P <0.05). Conclusion For patients with complex staghorn kidney stones, based on the patient’s general condition, the location, size, number of stones and the status of the auxiliary examination,comprehensive evaluation were performed, and the appropriate surgical method can be selected. When the treatment effect is expected, according to the results of this study, it is recommended to chooseflexible ureteroscopy combined with extracorporeal shock wave stone removal.
