Analysis on the diagnosis of infection risk factors and the incidence of ureteroscopy holmium laser lithotripsy and vagal excitation under computed tomography image information health technology.Neurosci Lett. 2020 Jun 30 [Online ahead of print]NL
It was to explore the corresponding preventive measures based on the analysis of the main risk factors of systemic inflammatory response syndrome (SIRS) after the ureteroscopy holmium laser lithotripsy, so as to reduce the incidence rate of postoperative SIRS and vagal nerve excitement in patients with renal stones. 148 patients treated with the ureteroscopy holmium laser lithotripsy in our hospital from January 2018 to December 2019 were selected as the research objects. The total abdominal computed tomography (CT) plain scan and three-dimensional imaging were used for examination before surgery, and the Kidney, ureter, bladder (KUB) was used to evaluate the treatment effects after surgery. The objects were divided into the large stone group (>20mm) and the small stone group (≤20mm). The differences in stone sites and stone length and diameter between the age and sex of patients in the two groups were recorded and compared, and the stone clearance rate and complications in the two groups were evaluated. Through the Pearson chi-square test and multivariate Logistic regression analysis of the risk factors related to postoperative SIRS, the occurrence of vagal excitation in patients after ureteral soft mirror holmium laser lithotripsy was analysed, it found that there was no statistical difference in stone sites of age and sex between the two groups (P>0.05), and there was no statistical difference in stone clearance rate and postoperative complications between the two groups (P>0.05), while the difference in operation time between the two groups was statistically significant (P<0.05). According to the regression analysis, there was a significant positive correlation between the time of operation, positive urine culture in the middle before operation, infectious calculus, and postoperative SIRS (P<0.05). 78 patients suffered from vagal excitation during the surgery, and the incidence rate was 52.7%. The results showed that the treatment of kidney stones with a diameter more than 20mm and no more than 20mm by holmium laser lithotripsy under ureter-scope had good clinical effect. The operative time, positive urine culture in the middle part of the operation, and infectious stones were included in the main risk factors for the occurrence of SIRS after ureter-scope holmium laser lithotripsy and has a certain impact on the renal nerve trunk while crushing stones.