Clinical research on laparoscopic ureterolithotomy combined with flexible ureteroscopy for treatment of middle and upper ureteral calculi with ipsi-lateral kidney calculi / 中国现代医生

ABSTRACT

Objective To explore and analyze the efficacy of laparoscopic ureterolithotomy combined with flexible ureteroscopy for treatment of middle and upper ureteral calculi with ipsilateral kidney calculi. Methods All 64 cases who were diagnosed with middle and upper ureteral calculi with ipsilateral kidney stones in our hospital from October 2010 to October 2013 were chosen as the research subjects. All of the clinical data were analyzed retrospectively. Pa-tients were divided into observation group(33 cases) who were treated with laparoscopic ureterolithotomy combined with flexible ureteroscopy and the control group (31 cases) who were treated with traditional open surgery randomly. The short-term clinical effects between two groups were compared after 8 months. Results The surgical bleeding,opera-tion time,hospital stays and the recovery time of observation group were all lower than those of control group(P<0.05). The body mass and Karnofsky scores after surgery of two groups were all higher than those before surgery. Quality of life of the observation group was better than that of the control group(P<0.05). The complications rate of the observation group was lower than that of the control group(P<0.05). Conclusion Laparoscopic ureterolithotomy combined with flexible ureteroscopy for treatment of middle and upper ureteral calculi with ipsilateral kidney stones has such advan-tages as better efficacy,smaller trauma,faster postoperative recovery,higher stone clearance rate,fewer adverse reac-tions and higher quality of life compared with traditional open surgery. It is worthy of promotion.