Comparison of the outcomes of antegrade and retrograde approach ureteroscopy for impacted upper ureteric calculi
10.3760/cma.j.issn.1673-4904.2010.32.008
- VernacularTitle:顺行与逆行输尿管镜技术处理输尿管上段嵌顿性结石的疗效比较
- Author:
Youxin YE
;
Jinchun XING
;
Zhongquan ZHOU
;
Shixin CHEN
;
Rongfu LIU
;
Bin CHEN
- Publication Type:Journal Article
- Keywords:
Ureteral calculi;
Ureteroscopy;
Retrograde transurethral access;
Antegrade percutaneous nephrostomy tract
- From:
Chinese Journal of Postgraduates of Medicine
2010;33(32):20-22
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the outcomes of antegrade and retrograde approach ureteroscopy for impacted upper ureteric calculi and assess the safety and efficiency of the two types of minimally invasive technique. Methods A total of 106 patients with impacted upper ureteric calculi were treated with ureteroscopy. The procedure was performed via antegrade percutaneous nephrostomy tract in 50 patients (antegrade group) and via retrograde transurethral access in 56 patients (retrograde group). Results The success rate of retrograde group was 92.9% (52/56). Operating time was (45 ± 5 ) min, hospital stay was (6 ± 1) days. The stone free rate was 80.4%(45/56) at 1 month follow-up,7 patients with residual calculi required ESWL combination. Complication rate was 5.4% (3/56). The success rate of antegrade group was 100.0% (50/50). Operating time was (55 ± 8 ) min, hospital stay was (8 ± 2) days. The stone free rate was 100.0% (50/50) and no complication was noted. The stone free rate and the complication rate indicated significant difference between the two groups (P ＜ 0.05). Conclusions Antegrade and retrograde access ureteroscopy for impacted upper ureteric calculi are safe and effective. Success rate and stone free rate of antegrade approach are higher than those of retrograde approach.
