Efficacy and safety of same-session flexible ureteroscopic lithotripsy for unilateral upper urinary tract calculi 2 cm or smaller

Hao HU; Xin CHEN; Li JIANG; Shengjun LUO; Wei TANG

doi:10.16016/j.1000-5404.201712221

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Efficacy and safety of same-session flexible ureteroscopic lithotripsy for unilateral upper urinary tract calculi 2 cm or smaller

Clinical Medicine | 更新时间：2026-01-09

- Efficacy and safety of same-session flexible ureteroscopic lithotripsy for unilateral upper urinary tract calculi 2 cm or smaller
- Journal of Third Military Medical University Vol. 40, Issue 12, Pages: 1148-1154(2018)
- 作者机构：
  
  400016 重庆，重庆医科大学附属第一医院泌尿外科
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.201712221
  CLC： R181.32; R454.2; R693.4
- Received：23 December 2017，
  
  Revised：2018-01-25，
  
  Published：2018-01
- 稿件说明：
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Hao HU, Xin CHEN, Li JIANG, et al. Efficacy and safety of same-session flexible ureteroscopic lithotripsy for unilateral upper urinary tract calculi 2 cm or smaller[J]. Journal of Third Military Medical University, 2018, 40(12): 1148-1154.
DOI：

Hao HU, Xin CHEN, Li JIANG, et al. Efficacy and safety of same-session flexible ureteroscopic lithotripsy for unilateral upper urinary tract calculi 2 cm or smaller[J]. Journal of Third Military Medical University, 2018, 40(12): 1148-1154. DOI： 10.16016/j.1000-5404.201712221.

摘要

目的

对比研究术前免留置输尿管支架管的一期输尿管软镜与留置输尿管支架管的二期输尿管软镜钬激光碎石术的相关指标，探讨一期输尿管软镜钬激光碎石术治疗单侧上尿路结石的有效性和安全性。

方法

回顾性分析2016年1月至2017年6月我院收治的≤2 cm单侧肾及输尿管上段结石行输尿管软镜钬激光碎石术患者的临床资料，240例患者符合纳入标准，其中一期手术组和二期手术组各120例。比较两组患者手术时间、软镜鞘置入成功率、碎石成功率、术后住院时间、术后并发症率、术后1个月结石清除率。

结果

两组患者手术时间、软镜鞘置入成功率、碎石成功率、术后住院时间、术后并发症发生率、术后1个月结石清除率比较差异均无统计学意义(

0.05)。两组住院次数及费用相比，术前免留置输尿管支架管的一期输尿管软镜钬激光碎石术能减少患者住院次数及费用。

结论

一期输尿管软镜与二期输尿管软镜钬激光碎石术在治疗≤2 cm单侧上尿路结石中具有相似的安全性和有效性。

Abstract

Objective

To evaluate the efficacy and safety of same-session flexible ureteroscopy (f-URS) with holmium laser without preoperative ureteral stent placement for treatment of unilateral upper urinary tract calculi 2 cm or smaller in comparison with staged flexible ureteroscopy with preoperative ureteral stent placement.

Methods

The clinical data were retrospectively analyzed for 240 patients undergoing unilateral f-URS with holmium laser for unilateral renal and proximal urinary calculi 2 cm or smaller in our department between January

2016 and June

2017. Of these patients

120 received same-session unilateral f-URS surgery without a preexistent ureteral stent and the other 120 underwent staged surgery with preoperative ureteral stent placement. The operation time

the success rates of ureteral access sheath placement and lithotripsy

postoperative hospital stay

postoperative complication rate

and the stone-free rate (SFR) at 1 month after the operation were compared between the 2 groups.

Results

No significant differences were found between the 2 groups in the operation time

success rate of ureteral access sheath placement

success rate of lithotripsy

postoperative hospital stay

postoperative complication rate

or the stone-free rate (SFR) at 1 month postoperatively (

0.05). The patients receiving same-session ureteroscopy without a preexistent ureteral stent

however

had fewer hospital admissions with lower hospital expenditure than those receiving staged ureteroscopy with preoperative ureteral stent placement.

Conclusion

Same-session flexible ureteroscopy without a preexistent ureteral stent and staged surgery with preoperative ureteral stent placement have similar efficacy and safety for treatment of unilateral upper urinary tract calculi 2 cm or smaller.

关键词

Keywords

references

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