ABSTRACT
Objective:
To
analysis the application value of rigid
ureteroscope combined with holmium laser in
diagnosis and
treatment of complicated hepatolithiasis guided by three-dimensional visualization
technology.
Methods:
50
patients with complex hepatolithiasis treated in Hunan People′s
Hospital from October 2016 to March 2019 were selected as the study subjects. They were divided into
observation group and
control group by simple random
method. 20 cases underwent rigid
ureteroscope combined with holmium laser under the guidance of three-dimensional visualization
technology were taken as
observation group, 30 cases underwent rigid
ureteroscope combined with holmium laser by traditional imaging
diagnosis were taken as
control group. The differences between the two groups in operation
time, intraoperative
bleeding volume, stone residual rate, postoperative
hospital stay and
postoperative complications were statistically analyzed.
Results:
The residual rate of
calculi in
observation group was 10% (2/20), while it was 40% (12/30) in
control group; the amount of
bleeding during operation in the
observation group was (170.9±18.0)ml, and it was (371.6±37.0)ml in the
control group; the operation
time of
observation group was (179.0±14.3)minutes, and it was (340.2±24.3)minutes in the
control group; the postoperative
hospital stay of
observation group was (8.3±1.5)days, and it was (10.1±1.8)days in the
control group; postoperative biliary
hemorrhage occurred in 1 cases of the
observation group,
biliary tract leakage occurred in 2 cases, postoperative biliary
hemorrhage occurred in 3 cases of the
control group,
biliary tract leakage occurred in 4 cases.
Conclusions:
Rigid
ureteroscope combined with holmium laser guided by three-dimensional visualization
technology can further improve the
clinical efficacy in the
diagnosis and
treatment of complex hepatolithiasis. which is worthy of clinical application.