Micro channel percutaneous nephrolithotripsy in treating upper ureteral calculi complicated with diabetes

doi:10.3877/cma.j.issn.1674-3253.2018.01.006

Abstract

Abstract:

Objective

To assess the efficacy and safety of micro channel percutaneous nephrolithotripsy (MPCNL) for upper ureteral calculi in patients with diabetes.

Methods

Retrospective investigation was performed on 166 cases of upper ureteral calculi patients who had underwent MPCNL from October 2011 to September 2015 in Luoding People's Hospital, 83 cases of the patients were complicated with diabetes (Diabetes group) and the others without diabetes (Control group).

Results

There was no statistical difference between the two groups in age, gender, body mass index (BMI), stone size and position (all P>0.05). There was no significant difference between Diabetes group and Control group in operation time [(82.1±28.8) min vs (77.4±30.2) min, P=0.306], decrease of hemoglobin [(1.8±0.7) g/Lvs (1.7±0.6) g/L, P=0.325], systemic inflammatory response syndrome (26.5% vs 22.9%, P=0.719), stone-free rate(92.8% vs 95.2%, P=0.746), hospital stays [(11.2±2.3) d vs (10.8±2.1) d, P=0.244].

Conclusion

Micro channel percutaneous nephrolithotripsy is a safe and effective therapy in treating upper ureteral calculi complicated with diabetes.

Key words: Micro channel, percutaneous nephrolithotripsy, Upper ureteral calculi, Diabetes

Likuang Luo, Hailun Zhan, Wenbiao Li, Ende Ni, Weiqiang Liao, Chuangming Liu. Micro channel percutaneous nephrolithotripsy in treating upper ureteral calculi complicated with diabetes[J]. Chinese Journal of Endourology(Electronic Edition), 2018, 12(01): 20-23.

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References 14

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组别	性别（例）		年龄（岁，±s）	BMI （kg/m²，±s）	结石分布（例）		结石大小（cm，±s）	中重度肾积液[例（％）]	尿路感染[例（％）]
组别	男	女	年龄（岁，±s）	BMI （kg/m²，±s）	肾结石	输尿管上段结石	结石大小（cm，±s）	中重度肾积液[例（％）]	尿路感染[例（％）]
糖尿病组	51	32	56±9	26±4	46	37	3.7±1.8	68(82)	58(70)
非糖尿病组	47	36	55±9	25±4	42	41	4.1±2.1	65(78)	49(59)
统计值	χ²=0.399		t=1.073	t=1.272	χ²=0.387		t=1.272	χ²=0.34	χ²=2.130
P值	0.636		0.285	0.205	0.641		0.189	0.698	0.194

组别	性别（例）		年龄（岁，±s）	BMI （kg/m²，±s）	结石分布（例）		结石大小（cm，±s）	中重度肾积液[例（％）]	尿路感染[例（％）]
组别	男	女	年龄（岁，±s）	BMI （kg/m²，±s）	肾结石	输尿管上段结石	结石大小（cm，±s）	中重度肾积液[例（％）]	尿路感染[例（％）]
糖尿病组	51	32	56±9	26±4	46	37	3.7±1.8	68(82)	58(70)
非糖尿病组	47	36	55±9	25±4	42	41	4.1±2.1	65(78)	49(59)
统计值	χ²=0.399		t=1.073	t=1.272	χ²=0.387		t=1.272	χ²=0.34	χ²=2.130
P值	0.636		0.285	0.205	0.641		0.189	0.698	0.194

组别	例数	手术时间（min，±s）	Hb下降（g/L，±s）	SIRS发生率[例（%）]	结石清除率（%）	住院时间（d，±s）
糖尿病组	83	82±29	1.8±0.7	22（26.5）	92.8	11.2±2.3
非糖尿病组	83	77±30	1.7±0.6	19（22.9）	95.2	10.8±2.1
统计值	?	t=1.100	t=0.988	χ²=0.292	χ²=0.426	χ²=1.170
P值	?	0.306	0.325	0.719	0.746	0.244

组别	例数	手术时间（min，±s）	Hb下降（g/L，±s）	SIRS发生率[例（%）]	结石清除率（%）	住院时间（d，±s）
糖尿病组	83	82±29	1.8±0.7	22（26.5）	92.8	11.2±2.3
非糖尿病组	83	77±30	1.7±0.6	19（22.9）	95.2	10.8±2.1
统计值	?	t=1.100	t=0.988	χ²=0.292	χ²=0.426	χ²=1.170
P值	?	0.306	0.325	0.719	0.746	0.244

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