Comparison of two surgical treatments for upper ureteral calculi after translocation during the same period

doi:10.3877/cma.j.issn.1674-3253.2019.01.008

Abstract

Abstract:

Objective

To explore the method of improving the clinical efficacy in the treatment of upper ureteral calculi.

Methods

Clinical data of 68 patients with upper ureteral calculus and translocation during surgery admitted to our department from July, 2012 to May, 2017 were retrospectively analyzed. All 68 patients were treated with ureteroscopic lithotripsy under general anesthesia, and calculus displacement occurred during the operation. Thirty-two patients underwent minimally invasive percutaneous nephrolithotomy (MPCNL) and 36 patients were treated with retrograde intra-renal surgery (RIRS). The clinical efficacy and postoperative complications were analyzed.

Results

A total of 32 cases were treated with MPCNL and the success rate of lithotripsy was 93.8%. Thirty-six patients underwent RIRS and the success rate of lithotripsy was 100%. Patients in the RIRS group obtained faster postoperative recovery and shorter length of hospital stay than their counterparts in the MPCNL group. No blood transfusion, ureteral perforation, or other severe complications such as massive hemorrhage and ureteral stricture occurred during postoperative follow-up for 3-6 months.

Conclusions

RIRS can be the primary treatment of the upper ureteral calculi migrating to the kidney during ureteroscopic lithotripsy.

Key words: Ureteral calculus, Percutaneous nephroscope, Flexible ureteroscope

Zhengbiao Zhang, Xinjian Chen, Xiaoyong Song, Yangri Ma. Comparison of two surgical treatments for upper ureteral calculi after translocation during the same period[J]. Chinese Journal of Endourology(Electronic Edition), 2019, 13(01): 32-35.

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References 19

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组别	例数	结石大小（cm）	手术时间（min）	住院天数（d）
MPCNL组	32	1.27±0.40	60±9	6.3±1.0
RIRS组	36	1.31±0.39	55±7	3.3±0.8
t值	?	0.382	2.821	14.147
P值	?	0.704	0.006	<0.001

组别	例数	结石大小（cm）	手术时间（min）	住院天数（d）
MPCNL组	32	1.27±0.40	60±9	6.3±1.0
RIRS组	36	1.31±0.39	55±7	3.3±0.8
t值	?	0.382	2.821	14.147
P值	?	0.704	0.006	<0.001

组别	例数	一次性碎石成功率	并发症发生率（出血、发热）
MPCNL组	32	30(93.8)	3(9.4)
RIRS组	36	36(100)	2(5.6)
P值	?	0.218	0.660

组别	例数	一次性碎石成功率	并发症发生率（出血、发热）
MPCNL组	32	30(93.8)	3(9.4)
RIRS组	36	36(100)	2(5.6)
P值	?	0.218	0.660

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