Curative Effect of Flexible Ureteroscope with 200 μm Holmium Laser Lithotripsy in the Treatment of Medullary Sponge Kidney Calculi_West China Medical Journal

Authors：

 LuoHua , LiaoGaoyuan , LiuChen , WangXiaobo

Department of Urology, the Second People's Hospital of Deyang, Deyang, Sichuan 618000, P. R. China;

Corresponding?author：

Keywords：

Medullary sponge kidney; Calculi; Flexible ureteroscope; Holmium laser

DOI：

10.7507/1002-0179.201600497

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Objective To investigate the clinical efficacy and safety of lithotripsy under flexible ureteroscope using 200 μm holmium laser for medullary sponge kidney stones. Methods We identified and retrospectively reviewed 10 patients who underwent flexible ureteroscopic lithotripsy for medullary sponge kidney calculi between January 2013 and July 2014. The remission of clinical symptoms and incidence of perioperative complications were observed. Results The staged surgery was performed on 10 bilateral cases with one session for each kidney. The operative time of our cohort was 130-180 minutes. The postoperative average hemoglobin was not significantly reduced (110.6 g/L) as compared with preoperative average hemoglobin (116.8 g/L) (P>0.05). Two patients had fever after operation and temperatures became normal by anti-infection. The renal function and plain film of kidney-ureter-bladokr (KUB) and CT scan were rechecked for all cases on three months after operation. The kidney function in 3 cases of chronic renal failure was ameliorated to varying degrees. The postoperative average of serum creatinine (196.2 μmol/L) was reduced as compared with the preoperative average serum creatinine (385.7 μmol/L) (P<0.05). Six patients reported spontaneous discharge of residuary stones during three months after surgery. KUB and CT scan proved significant reduction of the loads of stones for all cases after operation. Conclusion Flexible ureteroscope with 200 μm holmium laser lithotripsy is a safe and effective treatment for medullary sponge kidney stones based on its effect on amelioration of symptom and renal function.

Citation： LuoHua, LiaoGaoyuan, LiuChen, WangXiaobo. Curative Effect of Flexible Ureteroscope with 200 μm Holmium Laser Lithotripsy in the Treatment of Medullary Sponge Kidney Calculi. West China Medical Journal, 2016, 31(11): 1811-1813. doi: 10.7507/1002-0179.201600497 Copy

1.	林鷺, 郁勝強. 髓質海綿腎的新認識[J].中國全科醫學, 2015(18):2213-2216.
2.	Gambaro G, Feltrin G, Lupo A, et al. Medullary sponge kidney (Lenarduzzi-Cacchi-Ricci disease):a Padua medical school discovery in the 1930s[J].Kidney Int, 2006, 69(4):663-670.
3.	Kuiper JJ. Medullary sponge kidney[J].Perspect Nephrol Hypertens, 1976, 4(1):151-171.
4.	Rommel D, Pirson Y. Medullary sponge kidney part of a congenital syndrome[J].Nephrol Dial Transplant, 2001, 16(3):634-636.
5.	Ginalski JM, Portmann L, Jaeger P. Does medullary sponge kidney cause nephrolithiiasis[J].AJR Am J Roentgenol, 1990, 155(2):299-302.
6.	Parks JH, Coe FL, Strauss AL. Calcium nephrolithiasis and medullary sponge kidney in women[J].N Engl J Med, 1982, 306(18):1088-1091.
7.	雷鳴, 劉春曉, 曾國華, 等. 髓質海綿腎合并代謝異常的診斷和意義[J].南方醫科大學學報, 2010, 30(2):403-404, 406.
8.	Fabris A, Lupo A, Bernich P, et al. Long-Term treatment with potassium citrate and renal stones in medullary sponge kidney[J].Clin J Am Soc Nephrol, 2010, 5(9):1663-1668.
9.	Forster JA, Taylor J, Browning AJ, et al. A review of the natural progression of medullary sponge kidney and a novel grading system based on intravenous urography findings[J].Urol Int, 2007, 78(3):264-269.
10.	張和平, 王長福, 靳海英, 等. 髓質海綿腎的影像學檢查[J].實用醫學影像雜志, 2010, 11(6):374-376.
11.	周春香, 郭燕, 劉明娟, 等. 髓質海綿腎的CT診斷[J].臨床放射學雜志, 1998, 17(4):226-228.
12.	楊震宇, 夏圻兒, 張旭, 等. 髓質海綿腎合并腎結石的診斷和治療[J].中國醫師進修雜志, 2012, 35(11):54-56.
13.	秦軍, 王禾, 袁建林, 等. 髓質海綿腎的診斷和治療(附8例報告)[J].現代泌尿外科雜志, 2007, 12(6):361-362.
14.	孫穎浩. 泌尿系結石微創治療的若干問題[J].中國微創外科雜志, 2011, 11(1):6-8, 12.
15.	曹全富, 王洛夫, 蘭衛華, 等. 輸尿管軟鏡在髓質海綿腎結石治療中的應用[J].局解手術學雜志, 2014(6):644-646.

1. 林鷺, 郁勝強. 髓質海綿腎的新認識[J].中國全科醫學, 2015(18):2213-2216.
2. Gambaro G, Feltrin G, Lupo A, et al. Medullary sponge kidney (Lenarduzzi-Cacchi-Ricci disease):a Padua medical school discovery in the 1930s[J].Kidney Int, 2006, 69(4):663-670.
3. Kuiper JJ. Medullary sponge kidney[J].Perspect Nephrol Hypertens, 1976, 4(1):151-171.
4. Rommel D, Pirson Y. Medullary sponge kidney part of a congenital syndrome[J].Nephrol Dial Transplant, 2001, 16(3):634-636.
5. Ginalski JM, Portmann L, Jaeger P. Does medullary sponge kidney cause nephrolithiiasis[J].AJR Am J Roentgenol, 1990, 155(2):299-302.
6. Parks JH, Coe FL, Strauss AL. Calcium nephrolithiasis and medullary sponge kidney in women[J].N Engl J Med, 1982, 306(18):1088-1091.
7. 雷鳴, 劉春曉, 曾國華, 等. 髓質海綿腎合并代謝異常的診斷和意義[J].南方醫科大學學報, 2010, 30(2):403-404, 406.
8. Fabris A, Lupo A, Bernich P, et al. Long-Term treatment with potassium citrate and renal stones in medullary sponge kidney[J].Clin J Am Soc Nephrol, 2010, 5(9):1663-1668.
9. Forster JA, Taylor J, Browning AJ, et al. A review of the natural progression of medullary sponge kidney and a novel grading system based on intravenous urography findings[J].Urol Int, 2007, 78(3):264-269.
10. 張和平, 王長福, 靳海英, 等. 髓質海綿腎的影像學檢查[J].實用醫學影像雜志, 2010, 11(6):374-376.
11. 周春香, 郭燕, 劉明娟, 等. 髓質海綿腎的CT診斷[J].臨床放射學雜志, 1998, 17(4):226-228.
12. 楊震宇, 夏圻兒, 張旭, 等. 髓質海綿腎合并腎結石的診斷和治療[J].中國醫師進修雜志, 2012, 35(11):54-56.
13. 秦軍, 王禾, 袁建林, 等. 髓質海綿腎的診斷和治療(附8例報告)[J].現代泌尿外科雜志, 2007, 12(6):361-362.
14. 孫穎浩. 泌尿系結石微創治療的若干問題[J].中國微創外科雜志, 2011, 11(1):6-8, 12.
15. 曹全富, 王洛夫, 蘭衛華, 等. 輸尿管軟鏡在髓質海綿腎結石治療中的應用[J].局解手術學雜志, 2014(6):644-646.

West China Medical Journal

Curative Effect of Flexible Ureteroscope with 200 μm Holmium Laser Lithotripsy in the Treatment of Medullary Sponge Kidney Calculi

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