Abstract：Objective: To investigate the safety and efficacy of ureteroscopic holmium laser lithotripsy in the treatment of ureteral calculi under the ambulatory surgery mode. Methods: Eighty-five patients with ureteral calculi who underwent ureteroscopic holmium laser lithotripsy in the department of urology of our hospital from October 2019 to March 2020 were selected. They were divided into the ambulatory surgery group （case group） and the traditional surgery group （control group） according to whether the ambulatory surgery mode was adopted.All the patients successfully completed the surgery under epidural anesthesia, and the basic and clinical data of the patients were collected retrospectively. SPSS 22.0 software was used for statistical analysis of various indicators of the two groups of patients. Results: Among the 85 patients, there were 31 cases in the case group and 54 cases in the control group. There was no statistical difference in gender, age, liver function, kidney function, stone size, hypertension, diabetes and other basic data between the two groups （P > 0.05）. The two groups of patients successfully completed the operation, the case group in the preoperative preparation time, hospitalization time, catheterization time, hospitalization costs, postoperative satisfaction and other socio-economic indicators are different from the control group （P < 0.05）. The values of urine white blood cells and blood CRP in the case surgery group were lower than those in the control group （P < 0.05）. The indexes of postoperative urinary red blood cell, calculus residue, fever, nausea and vomiting, and pain in the case group were not significantly different from those of the control surgery group （P > 0.05）. Conclusions: The ambulatory surgery mode has similar efficacy and is safe and reliable compared with the traditional surgery mode. The social and economic benefits of ambulatory surgery mode are obviously higher than that of traditional surgery mode, and it is worth popularizing.
叶俊兵, 叶利洪, 钱卫良, 蒋小强, 王楷峰, 楼观涛. 日间手术治疗输尿管结石的安全性与疗效分析[J]. 微创泌尿外科杂志, 2021, 10(5): 316-320.
YE Junbing, YE Lihong, QIAN Weiliang, JIANG Xiaoqiang, WANG Kaifeng, LOU Guantao. Analysis of safety and availability of ambulatory surgery for ureteral calculi. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2021, 10(5): 316-320.
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