Application of flexible ureteroscope combined with flexible ureteral access sheath in patients with renal calculi
SHI Shenglong1 LYU Meiqiao2
1. Department of Urology, the Third Affiliated Hospital of Gannan Medical University, Jiangxi Province, Ganzhou 341000, China
2. Department of Public Health, the First Affiliated Hospital of Gannan Medical University, Jiangxi Province, Ganzhou 341000, China
Abstract：Objective To explore the application value of flexible ureteroscope combined with flexible ureteral access sheath in patients with renal calculi. Methods A total of 40 patients with renal calculus admitted to the Third Affiliated Hospital of Gannan Medical University from January to December 2022 were selected as research objects. According to random number table method, they were divided into control group and observation group, with 20 cases in each group. Both groups were treated with flexible ureteroscopic lithotripsy. The control group was treated with non-flexible ureteral access sheath, while the observation group was treated with flexible ureteral access sheath. The stone clearance rate, surgical indicators, pain degree, negative emotions, quality of life, and incidence of complications were compared between the two groups. Results The stone clearance rate of the observation group at 1 day and 1 month after operation were higher than those of the control group, and the difference were statistically significant (P＜0.05). The operation time of the observation group was shorter than that of the control group, and the intraoperative blood loss was less than that of the control group, and the differences were statistically significant (P＜0.05). Before operation, there were no statistically significant differences in pain degree, negative emotion and quality of life scores between the two groups (P＞0.05). The pain visual analogue scale (VAS) score of the observation group was lower than that of the control group 3 days after operation, the scores of self-rating depression scale (SDS) and self-rating anxiety scale (SAS) were lower than those of the control group 1 month after operation, and the scores of social relationship, physical health, mental health and surrounding environment in the World Health Organization quality of life brief assessment (WHOQOL-BREF) 1 month after operation were higher than those in the control group, and the differences were statistically significant (P＜0.05). The total incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant (P＜0.05). Conclusion Flexible ureteroscope combined with flexible ureteral access sheath has obvious advantages in shortening the operation time and reducing intraoperative blood loss compared with non-flexible ureteral access sheath, which is conducive to improving the stone clearance rate, reducing the risk of complications, reducing the pain and negative emotions of patients, and improving the quality of life.
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