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《Medical Journal of National Defending Forces in Southwest China》 2016-04
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Clinical comparative study on therapeutic effects of flexible ureteroscope holmium laser lithotripsy and ureteroscopic pneumatic lithotripsy on upper urinary calculi

He Liming;Zhang Yongsheng;Qu Weixing;Department of Urology, Traditional Chinese Medicine Hospital of Yulin City;Urological Hospital, People's Hospital of Shaanxi Province;  
Objective To make comparison between the therapeutic effects of flexible ureteroscope holmium laser lithotripsy and ureteroscopic pneumatic lithotripsy through mini-percutaneous nephrolithotomy on upper urinary calculi. Methods 80 patients with upper urinary calculi accepted in the hospital between January 2013 and August 2015 were selected and randomly divided into two groups. Group A received holmium laser lithotripsy treatment, and group B was treated by the ureteroscopic pneumatic lithotripsy through mini-percutaneous nephrolithotomy. Results The clearance rate of stones after once in group A was 82.5% which was significantly higher than that in group B(50.0%)(P 0.05). There was no significant difference in the clearance rate after twice or 3months after the surgery between the two groups(P 0.05). The operative time of group A was longer than group B, but its postoperative bleeding was less(P 0.05). There was no significant difference in the length of hospital stay between the two groups(P 0.05). The incidence of complications in group A was 5.0% which was significantly lower than that in group B(20.0%)(P 0.05).Conclusion The flexible ureteroscope holmium laser lithotripsy can reduce the damage to the patients with fewer complications,which has a better clinical effect on upper urinary calculi.
【CateGory Index】: R699
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