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Objective. To compare the differences between the clinical pathway mode and the traditional mode implemented in the treatment of ureteral calculus by referring to different parameters, and to analyze the reasons. Method. A total of 164 cases of ureteral calculus fall into four groups: group A: treating only the calculus with clinical pathway; group B: treating the calculus and other diseases with clinical pathway; group C; treating only the calculus with the traditional mode; group D: treating the calculus and other diseases with the traditional mode. All patients were treated with ureteroscopic ballistic lithotripsy under various types of anesthesia. There were 56 cases in group A, 30 cases in group B, 46 cases in group C, and 32 cases in group D. The statistical methods were used for comparing the following parameters: preoperative average length of stay, average length of stay, total hospitalization expense, drug expense proportion, antibacterial drug expense proportion, and patient satisfaction. Result. In group A, the indicators were better than groups B, C and D, and the difference was statistically significant (P < 0.05); the indicators of group B and group C were almost the same (P > 0.05); the indicators of group B and group C were better than the indicators of group D, and the difference was statistically significant (P < 0.05). Conclusion. The treatment effect of implementation of the clinical pathway mode in the treatment of simple calculus in the middle-lower ureter, in the absence of other diseases, is better, and the overall effect is satisfactory, but the clinical pathway mode needs to be further improved.
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Ma et al. (2014) studied this question.
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