A retrospective study on retention time of double J tube and complications after ureteral holmium laser lithotripsy

doi:10.3877/cma.j.issn.1674-3253.2021.05.013

Abstract

Abstract:

Objective

To investigate the relationship between double J tube indwelling duration and the incidence of complication after ureteroscopy holmium laser lithotripsy.

Methods

According to the time of indwelling stent 264 patients from January 1, 2017 to August 1, 2019 were divided into two groups. The patients with two weeks of indwelling time were group Ⅰ, and the patients with one month of indwelling time were group Ⅱ. The stone clearance rate and the incidence of complication were compared and analyzed between the two group.

Results

Before the removal of ureteral stent, the incidence of double J tube surface calculus formation, ureteral stent symptoms questionnaire (USSQ) score and quality of life score in group Ⅰ were lower than that in group Ⅱ, the differences were statistically significant (P<0.05), but there were no significant differences in urinary tract infection, double J tube ectopia, and stone removal rate between the two groups (P>0.05). One week after stent removal: there was no significant difference in USSQ score and quality of life score between the two groups (P>0.05).

Conclusion

Shortening the time of stent placement after holmium laser lithotripsy for ureteral calculi can reduce the occurrence of complications such as lower urinary tract symptoms, physical pain, double J-tube surface stone formation, and improve the quality of life and has no significant effect on the stone removal rate.

Key words: Ureteroscopy, Holmium laser, Stone, Double J tube

Xiaodong Hao, Lei Wang, Shuo Zheng, Hao Ding, Zijing Luo, Zhao Wang, Xuejun Xu, Zhe Xu. A retrospective study on retention time of double J tube and complications after ureteral holmium laser lithotripsy[J]. Chinese Journal of Endourology(Electronic Edition), 2021, 15(05): 419-422.

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References 22

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组别	例数	年龄[岁，(±s)]	BMI[kg/m²，(±s)]	性别(例)		结石大小[cm，(±s)]	术前体外碎石患者(例)	高血压患者(例)	肾积水程度(例)
组别	例数	年龄[岁，(±s)]	BMI[kg/m²，(±s)]	男	女	结石大小[cm，(±s)]	术前体外碎石患者(例)	高血压患者(例)	轻	中	重
2周拔管组	130	48±13	27.8±6.9	95	35	0.9±0.5	64	33	63	49	18
4周拔管组	134	46±15	28.3±8.0	99	35	1.0±0.5	72	28	56	55	23
统计值		t=0.921	t=0.543	χ²=0.147		t=1.625	χ²=0.535	χ²=0.693	Z=1.307
P值		0.358	0.588	0.883		0.105	0.464	0.405	0.520

组别	例数	年龄[岁，(±s)]	BMI[kg/m²，(±s)]	性别(例)		结石大小[cm，(±s)]	术前体外碎石患者(例)	高血压患者(例)	肾积水程度(例)
组别	例数	年龄[岁，(±s)]	BMI[kg/m²，(±s)]	男	女	结石大小[cm，(±s)]	术前体外碎石患者(例)	高血压患者(例)	轻	中	重
2周拔管组	130	48±13	27.8±6.9	95	35	0.9±0.5	64	33	63	49	18
4周拔管组	134	46±15	28.3±8.0	99	35	1.0±0.5	72	28	56	55	23
统计值		t=0.921	t=0.543	χ²=0.147		t=1.625	χ²=0.535	χ²=0.693	Z=1.307
P值		0.358	0.588	0.883		0.105	0.464	0.405	0.520

组别	下尿路症状[USSQ，(±s)]	身体疼痛[USSQ，(±s)]	生活质量指数评分(±s)	尿路感染(例)	双J管异位(例)	结石完全清除(例)	双J管表面结石生成(例)
2周拔管组	15.23±5.17	22.19±9.83	3.11±1.43	69	1	104	10
4周拔管组	17.81±6.22	26.27±10.34	3.69±1.96	84	0	110	37
统计值	t=3.659	t=3.283	t=2.739	χ²=2.501	χ²=1.035	χ²=0.188	χ²=17.892
P值	<0.001	0.001	0.006	0.114	0.309	0.665	0.000023

组别	下尿路症状[USSQ，(±s)]	身体疼痛[USSQ，(±s)]	生活质量指数评分(±s)	尿路感染(例)	双J管异位(例)	结石完全清除(例)	双J管表面结石生成(例)
2周拔管组	15.23±5.17	22.19±9.83	3.11±1.43	69	1	104	10
4周拔管组	17.81±6.22	26.27±10.34	3.69±1.96	84	0	110	37
统计值	t=3.659	t=3.283	t=2.739	χ²=2.501	χ²=1.035	χ²=0.188	χ²=17.892
P值	<0.001	0.001	0.006	0.114	0.309	0.665	0.000023

组别	下尿路症状（USSQ）	身体疼痛（USSQ）	尿路感染(例)	生活质量指数
2周拔管组	8.15±1.07	9.28±2.46	110	1.53±0.89
4周拔管组	7.99±1.23	9.55±2.32	19	1.44±1.05
统计值	t=1.126	t=0.918	χ²=2.142	t=0.750
P值	0.261	0.360	0.143	0.454

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