Treatment of Isolated Kidney and Kidney Stones with Ureteroscope and Holmium Laser Lithotripsy
LIU Da-le, XIAO Ke-feng, LIU Yan-feng, et al.
Department of Urology, Shenzhen People' s Hospital, Shenzhen (518000), China
Abstract:
Objective To analyze the efficacy and safety of holmium laser lithotripsy under ureteroscopy in the treatment of isolated kidney and kidney stones. Methods A total of 65 patients with isolated kidney and kidney stones were enrolled and divided into RIRS group (33 cases) and PCN group (32 cases) according to the treatment. Patients in the PCN group were treated with percutaneous nephrolithotomy, and patients in the RIRS group were treated with ureteroscopic holmium laser lithotripsy. The surgical indexes (surgery duration, surgical bleeding volume, getting out of bed time and discharge time), treatment effect and stone removal rate, complications (waist and abdomen pain, hematuria and residual stones) were observed and compared. Results In RIRS group, the operation time [(83.57+9.20) min], time of getting out of bed [(33.71+4.22) h] and discharge time [(5.24+0.60) d] were shorter than those in PCN group [(114.73+10.48) min, (41.57+9.43) h and (8.44+2.57) d], and the amount of bleeding during operation [(195.26+8.53) mL] was lower than that in PCN group [(402.33+11.94) mL] (P<0.05); the total effective rate and stone clearance rate in RIRS group were 88% and 85%, which were higher than those in PCN group (72% and 56%, respectively). The incidence of complications in RIRS group was 27%, which was lower than 47% in PCN group (P<0.05). Conclusion The ureteroscope holmium laser lithotripsy can be used in the treatment of patients with isolated kidney and kidney stones, the effect is better, safer, and can significantly shorten the operation time, reduce the amount of surgical bleeding, effectively remove stones and reduce postoperative complications occurrence. This method can promote the early recovery of patients, has a high clinical application value, and is worthy of application and promotion.
