Clinical value of single-channel minimally invasive percutaneous nephrolithotomy combined with flexible ureteroscope holmium laser lithotripsy in the treatment of complex renal calculi
LI Shengping1, CHEN Ru1, MA Feng1, SHI Yongzhu1, ZHOU Jun1
1Department of Urology, 3201st Hospital, Department of Medicine, Xi'an Jiaotong University, Xi'an 723000, China
Abstract:Objective: To investigate the efficacy of single-channel minimally invasive percutaneous nephrolithotomy holmium laser lithotripsy combined with ureteroscope holmium laser lithotripsy in the treatment of complicated renal calculi. Methods: 136 patients with complex renal calculi were randomly divided into group A and group B with 68 cases in each. In group A, holmium laser lithotripsy with single channel minimally invasive percutaneous nephroscope was applied in combination with holmium laser lithotripsy with flexible ureteroscope. In group B, holmium laser lithotripsy with percutaneous nephroscope was performed. The efficacy and safety of the two groups were compared. Results: The operation time in group A was (93.79 ± 17.37) min, which was significantly longer than that in group B (P < 0.05). No serious complications such as massive hemorrhage and ureteral rupture occurred in group A. One patient in group B had massive hemorrhage, which was relieved after blood transfusion and hemostasis. Conclusion: Single channel minimally invasive percutaneous holmium laser lithotripsy combined with ureteroscope holmium laser lithotripsy can improve the stone removal effect and safety of complex renal stones.
李升平, 陈如, 马锋, 石永柱, 周俊. 单通道微创经皮肾镜钬激光碎石术联合输尿管软镜钬激光碎石术治疗复杂性肾结石的临床价值研究[J]. 微创泌尿外科杂志, 2020, 9(5): 321-323.
LI Shengping, CHEN Ru, MA Feng, SHI Yongzhu, ZHOU Jun. Clinical value of single-channel minimally invasive percutaneous nephrolithotomy combined with flexible ureteroscope holmium laser lithotripsy in the treatment of complex renal calculi. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2020, 9(5): 321-323.
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