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| Surgical treatment of ureteral terminal (lower segment) calculi with ureteroscopy under the surface anesthesia of the lumen |
| TAN Fang-yun LI Tong LIU Fan |
| Department of Urology,Ganzhou Municipal Hospital,Jiangxi Province,Ganzhou 341000,China |
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Abstract Objective To investigate the surgical treatment of ureteral terminal (lower segment) calculi with ureteroscopy under the surface anesthesia of the lumen.Methods A total of 48 patients who underwent ureteroscopy for ureteral terminal (lower segment) calculi from June 2017 to May 2019 in our hospital were enrolled as subjects,they were randomly divided into the observation group and control group,with 24 cases in each group.In the observation group,surface anesthesia of the lumen was adopted,while in the control group,combined spinal-epidural anesthesia was used.The operation time,visual analogue scale (VAS) score,lithotripsy success rate,length of hospitalization,hospitalization cost and complications were compared between the two groups.Results The operation time of the observation group was shorter than that of the control group,the difference was statistically significant (P＜0.05).There were no significant differences in VAS score and gravel success rate between the two groups (P＞0.05).The length of hospitalization in the observation group was shorter than that in the control group,and the hospitalization cost was lower than that in the control group,with statistically significant differences (P＜0.05).The total complication rate in the observation group was lower than that in the control group,and the difference was statistically significant (P＜0.05).Conclusion Ureteroscopy under the surface anesthesia of the lumen for ureteral terminal (lower segment) calculi can shorten the operation time and length of hospitalization,reduce the economic burden of patients,and decrease the rate of anesthesia complications.It is a safe,effective and economical anesthetization,and is worthy of promotion in clinical practice.
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