Effect Analysis Of Retroperitoneal Laparoscopic Ureterolithotomy In The Treatment Of Upper Ureteral Granulation Encapsulated Calculi With Hydronephrosis

Objective: Based on the contrast of operation time,total length of stay,hospitalization expenses,postoperative complications and the above-mentioned aspects in different sex between retroperitoneal laparoscopic ureterolithotomy(RLUL)and rigid ureteroscopy lithotomy(URL)in the treatment of upper ureteral granulation encapsulated calculi with hydronephrosis provide reference for selecting surgery.Methods: In this paper,we brought 104 patients who had diagnosed upper ureteral granulation encapsulated calculi with hydronephrosis from affiliated hospitals of medical universities and cooperative ones in total into the research,grouping them in RLUL group and URL group according to surgery methods.Age,gender,BMI,sides(means that urinary calculi developed by left side or right side),preoperative infection,underlying diseases,operation time,total length of stay,hospitalization expenses,SFR,various kinds of postoperative complications rate and rate of complications were collected and analyzed statistically.Results:(1)Compared the general data between two groups,there were no statistical differences in mean age,rate of gender,average BMI,rate of sides,rate of preoperative infection,rate of underlying diseases(P>0.05).(2)The differences of average operation time,average length of stay and average hospitalization expenses between RLUL group and URL group had no statistic significance(P>0.05).(3)SFR was 92.5 % in RLUL group and 71.9 % in URL group,the difference had statistic significance(P<0.05).The differences of infection rate,rate of lumbar and abdominal pain,urinary pain rate and rate of complications had no statistic significance(P>0.05).(4)By making comparison with gender as grouping condition within the RLUL group,there were no statistical differences in operation time,total length of stay and hospitalization expenses(P>0.05).SFR and urinary pain rate of male was higher than female,and the difference had remarkable statistic significance(P<0.01).(5)By making comparison with gender as grouping condition within the URL group,there were no statistical differences in operation time,total length of stay,hospitalization expenses,rate of lumbar and abdominal pain,urinary pain rate and rate of complications(P>0.05).SFR of female and infection rate was higher than male,and the difference had statistic significance(P<0.05).Conclusion:(1)The SFR of RLUL group is higher than that of URL group in the treatment of upper ureteral granulation encapsulated calculi with hydronephrosis.(2)There were no statistical differences in operation time,total length of stay,hospitalization expenses and various kinds of postoperative complications rate between RLUL group and URL group in the treatment of upper ureteral granulation encapsulated calculi with hydronephrosis.(3)In RLUL group,the SFR of male is higher than that of female in the treatment of upper ureteral granulation encapsulated calculi with hydronephrosis.(4)In RLUL group,the urinary pain rate of male is higher than that of female in the treatment of upper ureteral granulation encapsulated calculi with hydronephrosis.(5)In URL group,the SFR and postoperative infection rate of female is higher than that of male in the treatment of upper ureteral granulation encapsulated calculi with hydronephrosis.