Clinical Value of Shortening Double-J Stent Indwelling Time in the Treatment of Ureteral Stone-street Complications after Flexible Ureteroscope Lithotripsy
10.3969/j.issn.1009-6604.2014.04.020
- VernacularTitle:缩短双J管留置时间对输尿管软镜碎石术后并发输尿管石街治疗的临床价值
- Author:
Rui HUANG
;
Xiaowen LIANG
- Publication Type:Journal Article
- Keywords:
Flexible ureteroscope;
Ureteral stone-street;
Double-J stent
- From:
Chinese Journal of Minimally Invasive Surgery
2014;(4):350-352
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value of shortening double-J stent indwelling time in the treatment of ureteral stone-street complications after flexible ureteroscope lithotripsy . Methods Clinical data of 38 cases of ureteral stone-street complications following flexible ureteroscope lithotripsy from January 2012 to December 2013 in our hospital were retrospectively analyzed.The patients were divided into Group A (extubating the double-J stent two weeks after the surgery ) and Group B (retaining the double-J stent) with 19 cases in each group .The stone clearance results were compared . Results All the urinary calculus in Group A had been removed successfully , including 2 cases of renal colic , 3 cases of irritative symptoms of bladder and 3 cases of gross hematuria.Hospital cost was (766.5 ±153.7) yuan.Urinary calculus were successfully removed in 13 cases in Group B, including 19 cases of gross hematuria and 17 cases of irritative symptoms of bladder.No renal colic occurred.The hospital cost was (1251.2 ± 155.6) yuan.Compared with Group B , Group A has higher success rate of stone clearance , lower hospital cost and lower rate of bladder irritative symptoms and gross hematuria (P<0.05).There were no significant differences between the two groups in the occurrence rate of renal colic (P>0.05). Conclusions Removing the double-J stent 2 weeks after flexible ureteroscope lithotripsy resulted in higher stone clearance rate and less complications compared with retaining the double -J stent.It can reduce the occurrence of irritative symptoms bladder and gross hematuria .
