Clinical application value of peel-away plastic film sheath combined with ureteroscopy and barometric lithotripsy for the treatment of complicated calculus in the middle and lower segment of female ureter
YANG Lin1, SHI Yuqiang1, LEI Zhentao1, ZHANG Bao1
Department of Urology, Space Center Hospital, Beijing 100049, China
Abstract：Objective： To investigate the clinical value of peel-away plastic film sheath combined with ureteroscopy and barometric lithotripsy in the treatment of female complicated middle and lower urinary tract calculi. Methods： According to random number table,84 patients with complicated middle and lower urinary tract calculi were randomly divided into two groups which were observation group and control group from May 2014 to May 2018 in our hospital. The control group was treated with treatment of ureteroscopy and barometric lithotripsy. The observation group was treated with Peel-away plastic sheath combined with ureteroscopy and barometric lithotripsy.What was compared between the two groups was Success ratio, operation-related indicators (operation time, bleeding volume, hospital stay and hospitalization expenses) and renal function-related indicators (SCr, BUN, IgG).The postoperative complications of the two groups were observed too. Results： Compared with the control group, the success ratio and calculi clearance rate of lithotripsy in the observation group was superior to the control group (P<0.05). The calculi removal time, the blood lose, days of hospitalization and hospitalization cost in the observation group were significantly less than the control group (P<0.05).Before the treatment, there was no significant difference in SCr, BUN and IgG between the two groups (P>0.05). After the treatment, the renal function indexes of the two groups decreased, and the decrease of SCr, BUN and IgG in the observation group was more obviousThe difference was statistically significant (P<0.05). There was also statistically significant difference in the incidence of complications between the two groups (P<0.05). Conclusion： The channel made by peel-away plastic film sheath can improve the renal function indicators of female patient who is suffer from complex ureteral calculi in the lower and middle urinary tract. The peel-away plastic film sheath can also reduce blood lose, days of hospitalization and other indicators, and it has fewer complications .The treatment with The peel-away plastic film sheath should worthy of clinical popularization.
杨林, 史玉强, 雷振涛, 张保. Peel-away塑料薄膜鞘结合输尿管镜气压弹道碎石术治疗女性输尿管中下段复杂性结石的临床应用价值[J]. 微创泌尿外科杂志, 2019, 8(5): 319-323.
YANG Lin, SHI Yuqiang, LEI Zhentao, ZHANG Bao. Clinical application value of peel-away plastic film sheath combined with ureteroscopy and barometric lithotripsy for the treatment of complicated calculus in the middle and lower segment of female ureter. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2019, 8(5): 319-323.
