Analysis of diagnosis and treatment of ureteral calculi in elderly patients with type 2 diabetes mellitus
10.3760/cma.j.issn.1008-6706.2020.11.008
- VernacularTitle:老年人2型糖尿病合并输尿管结石34例诊治分析
- Author:
Bin YANG
1
;
Wei CHENG
;
Mingcong ZHANG
Author Information
1. 江苏省，连云港市第二人民医院泌尿外科 222006
- From:
Chinese Journal of Primary Medicine and Pharmacy
2020;27(11):1312-1315
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the clinical features of ureteral calculi in elderly patients with type 2 diabetes mellitus in order to improve the diagnosis and treatment level.Methods:The clinical data of 34 ureteral calculi elderly patients with type 2 diabetes mellitus in the Second People's Hospital of Lianyungang from October 2014 to December 2018 were studied retrospectively.Insulin therapy or oral glucose-lowering drugs was accepted.The patients received one-stage treatment according to the guidelines, while the patients with severe infection received two-stage treatment.In the stage I, cystoscopic retrograde double J tube was accomplished.In the stage II, the patients received surgical treatment according to the guidelines.Results:Of the 34 cases, 15 cases were male and 19 cases were female, and the female to male ratio was 1.3.Five cases with infection were female and had long disease duration.One case with mild infection received one-stage treatment through strictly controlling the infection, 1 case with severe infection refused treatment and requested discharge from the hospital, 2 cases with severe infection received two-stage treatment, 1 case suffered infection after ureteroscopic lithotripsy(URL). Of the 12 patients received medical expulsive therapy, 9 cases were cured, while 3 cases failed.Nine patients were successfully cured by extracorporeal shock-wave lithotripsy(ESWL), 7 patients with middle-lower ureteral calculi by URL, 5 patients with upper ureteral calculi by percutaneous nephrolithotripsy(PCNL). Septicemia occurred in 1 case after URL, the others had no serious complications.Conclusion:The incidence of ureteral calculi in elderly patients with type 2 diabetes mellitus in female is gradually rising.Female and long disease duration are the risk factors for urinary tract infection.Medical expulsive therapy and surgery are safe and effective for the treatment of ureteral calculi in elderly patients with type 2 diabetes mellitus through strictly controlling the infection and blood glucose.
