Holmium laser lithotripsy reduces complications and relieves postoperative pain in elderly patients with urinary calculi.
Elderly patients
holmium laser lithotripsy
pneumatic lithotripsy
ureteral calculi
Journal
American journal of translational research
ISSN: 1943-8141
Titre abrégé: Am J Transl Res
Pays: United States
ID NLM: 101493030
Informations de publication
Date de publication:
2022
2022
Historique:
received:
22
04
2021
accepted:
02
06
2022
entrez:
15
9
2022
pubmed:
16
9
2022
medline:
16
9
2022
Statut:
epublish
Résumé
To investigate the effectiveness of ureteroscopic holmium laser lithotripsy (HLL) and pneumatic lithotripsy (PL) in elderly patients with ureteral calculi. In this retrospective study, clinical data of 220 elderly patients with urinary calculi hospitalized in Zhumadian Central Hospital from March 2018 to December 2019 were analyzed. Among the 220, 104 patients were treated with PL (PL group) and the other 116 were treated with HLL (HLL group). The two groups of patients were compared regarding surgical conditions, postoperative complications, physiologic stress response, pain level, and restoration of cognitive and renal function. Compared with the PL group, the HLL group had significantly shorter surgical duration, earlier time to first ambulation, shorter hospital stay, lower intraoperative bleeding, and higher stone-free rate. No significant differences were observed between two groups in complications. The norepinephrine (NE), cortisol (COR) and C-reactive protein (CRP) levels were all reduced postsurgically, but those in the HLL group were lower than those for PL. The VAS and MMSE scores in the HLL group were lower than those in the PL group at 6, 12, 36 and 48 hours after surgery. The blood urea nitrogen (BUN) and serum creatinine (SCr) levels decreased after surgery, and the decrease was greater in the HLL group. The WHOQOL-BREF scores in HLL group were higher than those of the PL group (P<0.05). Ureteroscopic HLL was shownhighly effective in promoting postoperative rehabilitation and reducing postoperative complications, pain, and physiological stress response, as well as crushing stones, with little impact on cognitive function.
Types de publication
Journal Article
Langues
eng
Pagination
5614-5621Informations de copyright
AJTR Copyright © 2022.
Déclaration de conflit d'intérêts
None.
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