Clinical applications of intelligent pressure control flexible ureteroscope for the treatment of renal calculi ≤2 cm
10.3760/cma.j.issn.0529-5815.2018.10.014
- VernacularTitle: 智能控压输尿管软镜治疗最大径≤2 cm肾结石的效果分析
- Author:
Hua CHEN
1
;
Leming SONG
;
Tairong LIU
;
Jiuqing ZHONG
;
Lunfeng ZHU
;
Lei YAO
;
Xianxin ZHU
;
Min ZENG
;
Shengfeng LIU
;
Yongming HUANG
Author Information
1. Department of Urology, Ganzhou People′s Hospital, Ganzhou Affiliated Hospital of Nanchang University, Ganzhou 341000, Jiangxi Province, China
- Publication Type:Journal Article
- Keywords:
Kidney calculi;
Ureteroscopy;
Intelligent pressure control
- From:
Chinese Journal of Surgery
2018;56(10):772-775
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effectiveness and safety of intelligent pressure control flexible ureteroscope for management of renal stones ≤2 cm.
Methods:The clinical data of 267 cases of renal calculi treated with flexible ureteroscope lithotripsy at Department of Urology, Ganzhou People′s Hospital from June 2015 to December 2017 were analyzed retrospectively. There were 129 male and 138 female patients, with a mean age of 51.2 years (ranging from 19 to 76 years). Among them, 145 patients underwent intelligent pressure control flexible ureteroscope (intelligent control group) and 122 patients underwent flexible ureteroscope ordinary (ordinary group). The t test, χ2 test or Fisher exact test were used for statistical analysis. The success rate of stone seeking, the stone free rates, the incidence of complications, the average operation time, the average hospital stay after operation were compared between the two groups.
Results:The average mean operative time of the patients with intelligent control group was (26.17 ± 8.64) minutes, significantly shorter than (47.23±18.35) minutes of the ordinary group (t=1.968, P=0.000). The stone free rate of the patients with intelligent control group was 97.2%, it was higher than 86.0% of ordinary group (χ2=0.069, P=0.004). The complication rate of the patients with intelligent control group was 2.7%, which was significantly shorter than 18.0% of the ordinary group (χ2=17.586, P=0.000). However, there was no significant difference between the two groups in the success rate of stone seeking and postoperative hospital stay (P>0.05).
Conclusion:Intelligent controlled pressure ureteral flexible ureteroscope has the advantages of short operation time, high stone free rate and less complications in the treatment of renal calculi ≤2 cm compared with flexible ureteroscope ordinary.
