Analysis of the efficacy and safety of modular flexible ureteroscopic lithotripsy for patients with diabetes and kidney stones
10.3760/cma.j.issn.115807-20200319-00088
- VernacularTitle:组合式输尿管软镜碎石术治疗糖尿病伴肾结石患者疗效与安全性分析
- Author:
Xiaoke HUANG
1
;
Lijuan ZHANG
;
Qingfeng TANG
;
Chengwan LIU
Author Information
1. 成都市新都区人民医院泌尿外科 610500
- From:Chinese Journal of Endocrine Surgery
2020;14(4):333-337
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy and safety of modular flexible ureteroscopic lithotripsy (M-FURL) in treatment of diabetic patients with kidney stones.Methods:Sixty patients with diabetes and kidney stones admitted to the Department of Urology, Xindu District People’s Hospital of Chengdu were selected as the observation group, and 78 patients with diabetes without kidney stones who were treated in our hospital during the same period were selected as the control group. M-FURL was performed to compare the operation of the two groups of patients.Results:Compared with the control group, fasting blood glucose and blood glucose level at 2h after meals in the observation group were significantly increased ( P<0.05) ; and the ratio of uric acid stones and calcium oxalate stones in the observation group was significantly higher than that ine the control group ( P<0.05) ; The two groups of patients were treated with M-FURL, and there was no statistically significant difference in stone clearance rate, total stone clearance rate, or complication rate ( P>0.05) ; At the same time, the difference in operation time and intraoperative blood loss between the two groups had no statistical significance ( P>0.05) ; while the hospital stay of the observation group was significantly longer than that of the control group ( P<0.05) . Conclusions:Patients with kidney stones and diabetes are more likely to have calcium oxalate stones and uric acid stones. M-FURL treatment in patients with diabetes and kidney stones is ideal and safe. Combining diabetes will not affect the effect of surgery.
