Clinical application of lithotripsy fixed pliers in percutaneous nephroscope holmium laser lithotripsy / 中国现代医生

ABSTRACT

Objective To study the efficiency of a new type of lithotripsy fixed plier in holmium laser lithotripsy. Methods From January 2013 to May 2016, 148 patients with nephrolithiasis in our hospital were randomly divided into two groups to perform percutaneous nephrolithotomy, holmium laser combined with lithotripsy by lithotripsy fixed pliers was performed in 74 patients in Group A to remove the stones. 74 patients in Group B simply took holmium laser lithotripsy to remove the stones. Analyzed operation time, lithotripsy time, complications, surgical efficiency of the two groups and so on. Results The total operation time of group A was 55-180 minutes with an average of (95. 00±2. 19) minutes. The lithotripsy time was 25-125min with an average of (47. 50±1. 41) min. Patients in group B had a total operation time of 50-185 minutes with an average of (100. 00±2. 28) minutes; The lithotripsy time was 25-100 minutes with an average of (59. 90±1. 65) minutes. There was no significant difference between the two groups in the overall operation time, and the lithotripsy time was significantly different. Conclusion The holmium laser combined with lithotripsy fixed pliers can reduce the lithotripsy time and improve the lithotripsy efficiency as compared with pure holmium laser lithotripsy.