Study on Necessity of Indwelling Ureteral Stent before Retrograde Intrarenal Surgery_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：

Retrograde intrarenal surgery; Ureteral stent; Upper urinary tract calculi

DOI：

10.7507/1002-0179.201600545

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the necessity of indwelling ureteral stent before flexible ureteroscopic lithotripsy in the treatment of upper urinary tract calculi. Methods Eighty-five patients with upper urinary tract calculi treated between June 2013 and December 2014 were divided into two groups:group A (without indwelling stent, n=42) and group B (with indwelling stent, n=43).Incidence of stent-related urinary tract symptoms, operation time, one-time success rate of placement for ureteral access sheath, and stone clearance rate were compared between the two groups. Results The operation time and stone clearance rate had no statistically significant differences between the two groups (P > 0.05).The incidence of stent-related urinary tract symptoms and one-time success rate of placement for ureteral access sheath in group B were significantly better than those in group A (P < 0.05). Conclusion For one-phase operation success, we suggest that indwelling ureteral stent is necessary before flexible ureteroscopyic lithotripsy for treating upper urinary tract calculi.

Citation： LuoHua, LiaoGaoyuan, LiuChen, WangXiaobo. Study on Necessity of Indwelling Ureteral Stent before Retrograde Intrarenal Surgery. West China Medical Journal, 2016, 31(12): 1986-1988. doi: 10.7507/1002-0179.201600545 Copy

1.	Argyropoulos AN, Tolley DA. SWL is more cost-effective than ureterscopy and holmium:YAG laser lithotripsy for ureteric stones:a comparative analysis for a tertiary referral centre[J]. Br J Med Surg Urol, 2010, 3:65-71.
2.	Dasgupta P, Cynk MS, Bultitude MF, et al. Flexible ureterorenoscopy:prospective analysis of the Guy's experience[J]. Ann R Coll Surg Engl, 2004, 86(5):367-370.
3.	王亮, 劉吉文, 刁思軍.輸尿管軟鏡下鈥激光碎石術治療直徑2 cm以上腎結石療效觀察[J].華西醫學, 2016, 31(11):1814-1817.
4.	楊春, 高小峰, 周鐵, 等.輸尿管軟鏡鈥激光碎石術治療合并臨床癥狀的腎盞憩室結石[J].中華泌尿外科雜志, 2012, 33(1):16-18.
5.	駱華, 王小波, 廖高源.輸尿管軟鏡聯合鈥激光在直徑>2 cm腎結石的臨床應用[J].華西醫學, 2016, 31(3):495-498.
6.	何云鋒, 吳小候, 唐偉, 等.輸尿管鏡下鈥激光治療輸尿管狹窄73例分析[J].重慶醫學, 2012, 41(2):133-134.
7.	Mogilevkin Y, Sofer M, Margel D, et al. Predicting an effective ureteral access sheath insertion:a bicenter prospective study[J]. J Endourol, 2014, 28(12):1414-1417.
8.	Cetti RJ, Biers S, Keoghane SR. The difficult ureter:what is the incidence of pre-stenting?[J]. Ann R Coll Surg Engl, 2011, 93(1):31-33.
9.	鄧青富, 朱永生, 裴利軍, 等.術前預置D-J管對輸尿管軟鏡碎石術效果的影響[J].重慶醫學, 2015, 44(32):4502-4503, 4506.
10.	朱世斌, 李恭會, 張志根.預留置輸尿管支架管對首次輸尿管軟鏡碎石術中放置工作鞘的影響[J].世界臨床醫學, 2015, 9(4):59-60.
11.	曾國華, 高小峰.輸尿管軟鏡術[M].北京:人民衛生出版社, 2014:87.
12.	Sanguedolce F, Liatsikos E, Verze P, et al. Use of flexible ureteroscopy in the clinical practice for the treatment of renal stones:results from a large European survey conducted by the EAU Young Academic Urologists-Working Party on Endourology and Urolithiasis[J]. Urolithiasis, 2014, 42(4):329-334.
13.	李為兵, 李龍坤, 鄢俊安.雙J管在泌尿外科中的應用(附1580例報告)[J].中國內鏡雜志, 2006, 12(4):376-377, 384.
14.	方烈奎, 袁謙, 黃向江, 等.物理抗菌材料防治輸尿管支架管留置相關感染的臨床研究[J].中華實驗外科雜志, 2015, 32(3):641-643.

1. Argyropoulos AN, Tolley DA. SWL is more cost-effective than ureterscopy and holmium:YAG laser lithotripsy for ureteric stones:a comparative analysis for a tertiary referral centre[J]. Br J Med Surg Urol, 2010, 3:65-71.
2. Dasgupta P, Cynk MS, Bultitude MF, et al. Flexible ureterorenoscopy:prospective analysis of the Guy's experience[J]. Ann R Coll Surg Engl, 2004, 86(5):367-370.
3. 王亮, 劉吉文, 刁思軍.輸尿管軟鏡下鈥激光碎石術治療直徑2 cm以上腎結石療效觀察[J].華西醫學, 2016, 31(11):1814-1817.
4. 楊春, 高小峰, 周鐵, 等.輸尿管軟鏡鈥激光碎石術治療合并臨床癥狀的腎盞憩室結石[J].中華泌尿外科雜志, 2012, 33(1):16-18.
5. 駱華, 王小波, 廖高源.輸尿管軟鏡聯合鈥激光在直徑>2 cm腎結石的臨床應用[J].華西醫學, 2016, 31(3):495-498.
6. 何云鋒, 吳小候, 唐偉, 等.輸尿管鏡下鈥激光治療輸尿管狹窄73例分析[J].重慶醫學, 2012, 41(2):133-134.
7. Mogilevkin Y, Sofer M, Margel D, et al. Predicting an effective ureteral access sheath insertion:a bicenter prospective study[J]. J Endourol, 2014, 28(12):1414-1417.
8. Cetti RJ, Biers S, Keoghane SR. The difficult ureter:what is the incidence of pre-stenting?[J]. Ann R Coll Surg Engl, 2011, 93(1):31-33.
9. 鄧青富, 朱永生, 裴利軍, 等.術前預置D-J管對輸尿管軟鏡碎石術效果的影響[J].重慶醫學, 2015, 44(32):4502-4503, 4506.
10. 朱世斌, 李恭會, 張志根.預留置輸尿管支架管對首次輸尿管軟鏡碎石術中放置工作鞘的影響[J].世界臨床醫學, 2015, 9(4):59-60.
11. 曾國華, 高小峰.輸尿管軟鏡術[M].北京:人民衛生出版社, 2014:87.
12. Sanguedolce F, Liatsikos E, Verze P, et al. Use of flexible ureteroscopy in the clinical practice for the treatment of renal stones:results from a large European survey conducted by the EAU Young Academic Urologists-Working Party on Endourology and Urolithiasis[J]. Urolithiasis, 2014, 42(4):329-334.
13. 李為兵, 李龍坤, 鄢俊安.雙J管在泌尿外科中的應用(附1580例報告)[J].中國內鏡雜志, 2006, 12(4):376-377, 384.
14. 方烈奎, 袁謙, 黃向江, 等.物理抗菌材料防治輸尿管支架管留置相關感染的臨床研究[J].中華實驗外科雜志, 2015, 32(3):641-643.

West China Medical Journal

Study on Necessity of Indwelling Ureteral Stent before Retrograde Intrarenal Surgery

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content