The Application Value of Pressurized Hanging Drip Infusion Method in Ureteroscopic Lithotripsy

Wang Sheng; Zhou Min; Wu Bo; Wang Lan; Xu Tao; Cao Jianwei

doi:10.19558/j.cnki.10-1020/r.2024.06.007

Abstract：Objective:To investigate the application value of the pressurized hanging drip infusion method in ure-teroscopic lithotripsy.Methods:A total of 45 patients with renal stones treated by ureteroscopic lithotripsy at the De-partment of Urology,Traditional Chinese Medicine Hospital of Changzhou,Jiangsu Province,from July 2022 to Au-gust 2023,were selected.The patients were divided into three groups according to the infusion method:Group A(n=15),the study group using the pressurized hanging drip infusion method;Group B(n=15),using the infusion pump method;and Group C(n=15),using the syringe push infusion method as the control group.During the lithotripsy procedure,the intrapelvic pressure was monitored in real time using a pressure guidewire in all three groups.The sur-gical time,hospital stay,intraoperative intrapelvic pressure changes,and postoperative fever were observed and com-pared among the three groups.Results:There were no statistically significant differences in surgical time,hospital stay,and postoperative fever among the three groups(P>0.05 of all).However,the maximum intrapelvic pressure during surgery in Group A was significantly lower than that in Groups B and C(P<0.001).The mean intrapelvic pressure in Group A was also significantly lower than that in Groups B and C(P=0.006).Conclusion:The pressur-ized hanging drip infusion method is feasible in ureteroscopic lithotripsy.It offers certain advantages in maintaining low intrapelvic pressure during the procedure,with high safety,efficiency,and low cost.This method may become an ideal infusion technique and is worthy of clinical promotion.