The clinical efficacy of novel vacuum suction ureteroscopic lithotripsy in the treatment of upper ureteral calculi

Zhang, Lv Wen; Fei, Xiang; Song, Yan

doi:10.1007/s00345-021-03722-5

“…Clinical trials of traditional Chinese medicine refer to the clinical trials of cervical spondylosis in the Guidelines for Clinical Trials of New Chinese Medicines, some of which are included in the classification of cervical spondylosis. Syndrome of cold obstruction and collaterals: cold in the neck, stiff neck, dysfunction, fear of wind, cold and pain in the neck and shoulders, warm and appropriate [ 12 ], light red tongue, thin and white moss, and tight pulse string. Qi stagnation and blood addiction syndrome: it occurs due to neck trauma or injury, with strong pain in the neck, such as acupuncture, refusal to press the pain, fixed pain points, dark tongue, and astringent pulse strings.…”

Section: Methodsmentioning

confidence: 99%

Clinical Observation of MRI Image in Floating Needle Therapy for Cervical Spondylosis of Cervical Type

Liu

¹

,

Tang

²

,

Wang

³

et al. 2022

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In order to solve the problem of cervical spondylosis in the early stage of various cervical spondylosis, effective treatment can prevent the deterioration of the disease. This paper presents the results of a clinical trial examining magnetic resonance imaging in the treatment of cervical spondylosis with flotation therapy and selected 68 patients with cervical spondylosis. According to research commodity, using a rigorous randomized controlled trial, 34 cases were divided into a control group (acupuncture group). The needles were kept for 30 minutes once a day. The treatment group (acupuncture combined with floating acupuncture group) was treated with acupuncture on the 1st, 3rd, and 5th days and floating acupuncture on the 2nd, 4th, and 6th days, respectively. Both groups were treated for 6 consecutive days and rested for 1 day. After 2 weeks of treatment, the simplified McGill Pain Scale (MPQ), visual analogue scale (VAS), and neck pain scale (NPQ) were observed and recorded to compare the curative effects. Finally, Excel software is used to manage the data, and SPSS21.0 is used for statistical analysis. Measurements of gender, age, disease, VAS, simple MPQ, and NPQ of the two groups were compared in the two groups, P > 0.05 , which was not significant and comparable. After treatment, VAS, simple MPQ, and NPQ of the two groups were compared in and between groups, the total P < 0.05 , with the mean data. Topics. Acupuncture combined with float needle and acupuncture therapy can improve the pain and breathing of cervical spondylosis and improve the quality of life of patients, but acupuncture combined with needle float is more pronounced than acupuncture groups.

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“…Postoperative bleeding is one of the most common clinical complications following PCNL surgery. Severe bleeding complications can precipitate organ damage and even endanger the life of the patient [ 5 , 6 ]. Most postoperative bleeding can be controlled by conservative treatment, and the frequency to control severe bleeding complications that require superselective vascular embolization is around 0.8% [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Renal pelvis mucosal artery hemorrhage after percutaneous nephrolithotomy: a rare case report and literature review

Zhang

¹

,

Fei

²

,

Song

³

2022

Self Cite

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Background Following a percutaneous nephrolithotomy (PCNL) procedure, the most common complications are considered to be intraoperative and postoperative bleeding. Many patients with postoperative bleeding can be treated conservatively, causing the perirenal hematoma to resolve spontaneously. The major causes of severe postoperative bleeding are pseudoaneurysms, arteriovenous fistula, and segmental arterial injury. Typically, the first choice of treatment to manage severe bleeding complications is selective angioembolization (SAE) because of the very high success rate associated with this procedure. Case presentation This clinical case involves a 56-year-old man who underwent dual-channel PCNL treatment after diagnosing a left kidney staghorn stone and urinary tract infection. The operation was successful, with no apparent signs of bleeding. Tests revealed continued decreasing hemoglobin levels following the procedure. After the conservative treatment failed, renal angiography was performed immediately, indicating renal pelvis mucosal artery hemorrhage. In the three hours post-surgery, the SAE still failed to prevent bleeding. Further discussions led to formulating a new surgical plan using a nephroscope to enter the initial channel where hemostasis began. The hemostasis origin was found precisely in the mucosal artery next to the channel during the operation and was successfully controlled. Conclusions This case reveals there is poor communication and inadequate discussions about the potential failures of an SAE procedure. Swift clinical decision-making is imperative when dealing with high-level renal trauma to prevent delays in surgery that can threaten the safety of patients.

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“…Endoscopic operation is the retrograde operation. The hydrophilic guide wire can pass through the narrow part more smoothly, which improves the flexibility of the guide wire and avoids the blindness of puncture [ 14 ]. The success rates of stent implantation in the plastic stent group and the metal stent group were 60.47% and 96.43%, respectively, in the present study.…”

Section: Discussionmentioning

confidence: 99%

The Evaluation of Clinical Status of Endoscopic Retrograde Cholangiography for the Placement of Metal and Plastic Stents in Cholangiocarcinoma Therapy

Gong

¹

,

Li

²

,

Xu

³

et al. 2022

Computational and Mathematical Methods in Medicine

2

0

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Objective. Cholangiocarcinoma is a common malignant tumor that occurs in the bile duct system, which can be treated by using the endoscopic retrograde cholangiography (ERCP). This study was aimed at exploring the therapeutic effect of ERCP with metal stent and plastic stent for cholangiocarcinoma. Methods. The clinical data of 71 patients with cholangiocarcinoma treated by ERCP in our hospital from June 2020 to October 2021 were retrospectively analyzed. According to different stent types, the patients were divided into plastic stent group ( n = 43 ) and metal stent group ( n = 28 ). Patients in the plastic stent group and metal stent group were received with plastic stent and metal stent, respectively. The indexes of liver function (serum alkaline phosphatase (ALT), direct bilirubin (DBIL), glutamic oxaloacetic transaminase (AST), alkaline phosphatase (ALP), and total bilirubin (TBIL)), postoperative complications, success rate of stent implantation, and survival time of patients in the two groups were determined. Logistic multivariate regression analysis was used to analyze the prognostic factors of postoperative cholangiocarcinoma. Results. The liver function indexes of the two groups were significantly improved after treatment with the stent, in which the ameliorative effect in the metal stent group was better than that in the plastic stent group ( P < 0.05 ). The incidence of postoperative complications in the plastic stent group and the metal stent group was 53.49% and 14.29%, respectively, and the success rate of stent placement was 60.47% and 96.43%, respectively. The incidence of complications in the metal stent group was lower than that in the plastic stent group, and the success rate of stent placement was higher than that in the plastic stent group ( P < 0.05 ). The median survival time of patients in the plastic stent group and the metal stent group was 8.15 and 11.83 months, respectively. The survival time of patients in the metal stent group was longer than that of the plastic stent group. The median survival time of patients with types I, II, III, and IV was 12.73, 11.54, 10.57, and 9.36 months, respectively. The survival time of patients with stage I was significantly higher than that of patients with types II, III, and IV. There was an inverse relationship between the disease type and the survival time of patients. Logistic multivariate regression analysis showed that tumor diameter ≥ 5 cm, portal vein invasion, lymph node metastasis, and classification of hilar cholangiocarcinoma were the risk factors ( P < 0.05 ) and metal stent type was the protective factor ( P < 0.05 ). Conclusion. In the clinical treatment of patients with cholangiocarcinoma, the placement of metal stent and plastic stent under ERCP plays an important role. The placement of the metal stent under ERCP has a higher success rate and better prognosis and can prolong the survival time of patients to a greater extent, but the price of the metal stent is relatively expensive. For patients with an expected survival period of more than 4-6 months, the metal stent should be considered; otherwise, the plastic stent can be used to maintain cost-effectiveness. Therefore, it is necessary to comprehensively analyze the patient’s economic affordability, expected survival time, stent drainage time, and personal needs and then select an appropriate treatment method.

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The clinical efficacy of novel vacuum suction ureteroscopic lithotripsy in the treatment of upper ureteral calculi

Cited by 16 publications

References 18 publications

Clinical Observation of MRI Image in Floating Needle Therapy for Cervical Spondylosis of Cervical Type

Clinical Observation of MRI Image in Floating Needle Therapy for Cervical Spondylosis of Cervical Type

Renal pelvis mucosal artery hemorrhage after percutaneous nephrolithotomy: a rare case report and literature review

The Evaluation of Clinical Status of Endoscopic Retrograde Cholangiography for the Placement of Metal and Plastic Stents in Cholangiocarcinoma Therapy

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