Comparison of the effect of rigid and flexible ureteroscopic holmium laser lithotripsy for the patients with upper ureteral calculi

doi:10.3877/cma.j.issn.1674-3253.2021.05.015

Abstract

Abstract:

Objective

To compare effect of ureteroscopic rigid and flexible ureteroscopic holmium laser lithotripsy for the patients with upper ureteral calculi.

Methods

A total of 120 patients with upper ureteral calculi admitted to Panzhihua Integrated Traditional Chinese and Western Medicine Hospital from February 2014 to February 2019 were divided into two groups. There were 70 patients underwent rigid ureteroscopic lithotripsy and 50 treated with flexible ureteroscopic lithotripsy. The operation time, hospitalization costs, success rate of primary lithotripsy, bowel sound recovery time, defecation time, hospital stay and incidence f complications were compared between the two groups.

Results

The success rate of primary lithotripsy in the flexible group was higher than that in the rigid group. The recovery time of bowel sounds, defecation time and hospital stay in the rigid group were higher than those in the flexible group. The differences were statistically significant (P<0.05). The operation time and the incidence rate of complications in the two groups were similar. The differences were not statistically significant (P>0.05).

Conclusion

Flexible ureteroscopy is superior to rigid ureteroscopy in the treatment of upper ureteral calculi.

Key words: Ureteral calculi, Flexible ureteroscope, Rigid ureteroscope

Chundong Ji, Jianyu Wang, Kai Liu, Wenguang Shao. Comparison of the effect of rigid and flexible ureteroscopic holmium laser lithotripsy for the patients with upper ureteral calculi[J]. Chinese Journal of Endourology(Electronic Edition), 2021, 15(05): 428-430.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhqjmnmwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-3253.2021.05.015

https://zhqjmnmwkzz.cma-cmc.com.cn/EN/Y2021/V15/I05/428

Figures/Tables 3

References 9

[1]	徐凯琪, 蔡波, 邢钱伟, 等. 输尿管软硬一体镜治疗上尿路结石90例单中心经验[J]. 南通大学学报（医学版）, 2017, 37(6): 508-511.
[2]	周鹏, 顾月颖, 赵文超, 等. 体外冲击波碎石术和输尿管软镜治疗输尿管上段结石疗效比较[J]. 微创泌尿外科杂志, 2018, 7(5): 310-313.
[3]	矫宾宾, 张萌, 赖世聪, 等. 输尿管软镜碎石术治疗肾或输尿管上段结石51例临床分析[J]. 中日友好医院学报, 2018, 32(3): 148-151.
[4]	胡豪, 陈欣, 蒋立, 等. 一期输尿管软镜钬激光碎石术治疗≤2 cm单侧上尿路结石的临床研究[J]. 第三军医大学学报, 2018, 40(12): 1148-1154.
[5]	王翔, 黎承杨, 汪小明, 等. 电子输尿管软镜与纤维输尿管软镜治疗上尿路结石的疗效对比研究[J]. 临床泌尿外科杂志, 2018, 33(2): 93-95+100.
[6]	邢刚, 邓国卫, 廖国亮, 等. 组合式输尿管硬镜联合软镜与经皮肾镜治疗肾盂结石的比较[J/CD]. 中华腔镜泌尿外科杂志(电子版), 2018, 12(1): 24-27.
[7]	何晓亮, 顾鹏, 章民昊, 等. 输尿管软镜同期治疗双侧上尿路结石的疗效分析[J/CD].中华腔镜泌尿外科杂志(电子版), 2017, 11(5): 319-321.
[8]	Jiang JT, Li WG, Zhu YP, et al. Comparison of the clinical efficacy and safety of retroperitoneal laparoscopic ureterolithotomy and ureteroscopic holmium laser lithotripsy in the treatment of obstructive upper ureteral calculi with concurrent urinary tract infections[J]. Lasers Med Sci, 2016, 31(5): 915-20.
[9]	顾志文, 郑彬, 罗发彩, 等. 输尿管硬镜与软镜治疗10~20 mm输尿管上段结石的比较[J]. 中国微创外科杂志, 2018, 18(9): 814-818.

组别	例数	性别(例)		年龄[岁，(±s)]	病程[年，(±s)]	结石侧别(例)		结石位置(例)		结石直径[mm，(±s)]
组别	例数	男	女	年龄[岁，(±s)]	病程[年，(±s)]	左侧	右侧	低于L₃	高于L₃	结石直径[mm，(±s)]
硬镜组	70	50	20	48.98±1.42	3.43±0.27	36	34	55	15	12.88±1.03
软镜组	50	30	20	50.10±1.45	3.50±0.25	25	25	39	11	12.85±1.05
统计值		χ²=2.474		t=0.259	t=0.421	χ²=0.039		χ²=0.010		t=0.238
P值		0.059		0.761	0.699	0.843		0.922		0.772

组别	例数	性别(例)		年龄[岁，(±s)]	病程[年，(±s)]	结石侧别(例)		结石位置(例)		结石直径[mm，(±s)]
组别	例数	男	女	年龄[岁，(±s)]	病程[年，(±s)]	左侧	右侧	低于L₃	高于L₃	结石直径[mm，(±s)]
硬镜组	70	50	20	48.98±1.42	3.43±0.27	36	34	55	15	12.88±1.03
软镜组	50	30	20	50.10±1.45	3.50±0.25	25	25	39	11	12.85±1.05
统计值		χ²=2.474		t=0.259	t=0.421	χ²=0.039		χ²=0.010		t=0.238
P值		0.059		0.761	0.699	0.843		0.922		0.772

组别	例数	手术时间（min）	肠鸣音恢复时间（h）	排便时间（h）	住院时间（d）	住院费用（万元）
硬镜组	70	57.50±1.50	16.50±1.50	65.25±2.25	3.88±0.22	2.56±0.14
观察组	50	56.88±1.55	12.20±1.55	58.00±2.50	2.50±0.25	1.48±0.18
t值		0.489	7.211	9.025	4.874	3.247
P值		0.687	<0.001	<0.001	<0.001	<0.001

组别	例数	手术时间（min）	肠鸣音恢复时间（h）	排便时间（h）	住院时间（d）	住院费用（万元）
硬镜组	70	57.50±1.50	16.50±1.50	65.25±2.25	3.88±0.22	2.56±0.14
观察组	50	56.88±1.55	12.20±1.55	58.00±2.50	2.50±0.25	1.48±0.18
t值		0.489	7.211	9.025	4.874	3.247
P值		0.687	<0.001	<0.001	<0.001	<0.001

组别	例数	一次碎石成功	并发症
组别	例数	一次碎石成功	疼痛	发热	石街形成	尿路感染
硬镜组	70	62	4	6	2	1
软镜组	50	48	2	4	1	0
χ²值		3.877	0.317	0.021	0.156	1.440
P值		0.049	0.574	0.884	0.693	0.230

Please choose a citation manager

Content to export