Efficacy of Combination of Flexible and Rigid Ureteroscopic Ho-YAG Laser Lithotripsy in Treatment of Upper Urinary Tract Calculi Greater than 2cm

Zhan Hui; Wang Jian Song; Chen Jian; Ke Chang Xing; Ding Ming Xia; Zuo Yi Gang

Article Contents

Article Navigation > Journal of Kunming Medical University > 2017 > 38(01): 91-94

Zhan Hui , Wang Jian Song , Chen Jian , Ke Chang Xing , Ding Ming Xia , Zuo Yi Gang . Efficacy of Combination of Flexible and Rigid Ureteroscopic Ho-YAG Laser Lithotripsy in Treatment of Upper Urinary Tract Calculi Greater than 2cm[J]. Journal of Kunming Medical University, 2017, 38(01): 91-94.

Citation:

Zhan Hui , Wang Jian Song , Chen Jian , Ke Chang Xing , Ding Ming Xia , Zuo Yi Gang . Efficacy of Combination of Flexible and Rigid Ureteroscopic Ho-YAG Laser Lithotripsy in Treatment of Upper Urinary Tract Calculi Greater than 2cm[J]. Journal of Kunming Medical University, 2017, 38(01): 91-94.

Citation:

Zhan Hui , Wang Jian Song , Chen Jian , Ke Chang Xing , Ding Ming Xia , Zuo Yi Gang . Efficacy of Combination of Flexible and Rigid Ureteroscopic Ho-YAG Laser Lithotripsy in Treatment of Upper Urinary Tract Calculi Greater than 2cm[J]. Journal of Kunming Medical University, 2017, 38(01): 91-94.

PDF( 167 KB)

Efficacy of Combination of Flexible and Rigid Ureteroscopic Ho-YAG Laser Lithotripsy in Treatment of Upper Urinary Tract Calculi Greater than 2cm

Funds:

基金：云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目 (2014FB055);

Received Date: 2016-10-10

Abstract

Abstract

Objective To observe the clinical result of treating upper urinary tract calculi greater than 2cm with combining flexible and rigid ureteroscopic Ho: YAG laser lithotripsy under the help of ESWL.Methods Forty patients with upper urinary tract calculi greater than 2 cm were observed, the diameter of the calculi of them was between 2 cm and 3.2 cm, and the average value was 2.6 cm.Twenty-one patients were treated by combining flexible and rigid ureteroscopic Ho:YAG laser lithotripsy, others were treated by flexible ureteroscopic Ho:YAG laser lithotripsy only, and ESWL was performed after the operation for some big remains.Results The average operative time of combining flexible and rigid ureteroscopic group was 96 minutes, and that of the other group was144 minutes, the difference of operative time between these 2 groups was significant (P<0.05) .In combining flexible and rigid ureteroscopic group 13 patients got a successful lithotripsy in the operation, 6 patients with big remains got a successful ESWL after the operation, the total success rate of this group was 90%;to the other group, 8 patients got a successful lithotripsy in the operation, 4 patients with big remains got a successful ESWL after the operation, the total success rate of this group was 60%, the difference was significant (P<0.05) .No seriouscomplications occurred in both groups.Conclusion Compared with the flexible ureteroscopic Ho: YAG laser lithotripsy, combining flexible and rigid ureteroscopic Ho:YAG laser lithotripsy can get a better result for shorter operative time, higher success rate, in treatment of upper urinary tract calculi greater than 2 cm, and the help of ESWL will make the results better.However, careful chosen of patients is important for a good result.
- Rigid ureteroscope,
- Flexible ureteroscopic,
- Upper urinary tract calculi,
- Treatment

FullText(HTML)

References(23)

References

[1]	[1]KNUDSEN B, MIYAOKA R, SHAH K, et al.Durability of the nextgeneration flexible fiberoptic ureteroscopes:a randomized prospective multi-institutional clinical trial[J].Urology, 2010, 75 (3) :534-538.
[2]	[2]JESSEN J P, HONECK P, KNOLL T, et al.Flexible ureterorenoscopy for lower pole stones:influence of the collecting system’s anatomy[J].J Endourol, 2014, 28 (2) :146-151.
[3]陈刚, 吴小侯.输尿管软镜治疗肾下盏结石的临床研究[J].重庆医科大学学报, 2014, 39 (6) :128-130.
[4]李源, 王树声, 陈志强, 等.输尿管软镜在上尿路结石治疗中应用价值[J].中国内镜杂志, 2012, 18 (3) :317-319.
[5]程跃, 施小东, 胡嘉盛, 等.电子输尿管软镜下钬激光碎石术[J].中国内镜杂志, 2011, 17 (2) :212-217.
[6]程跃, 严泽军, 马建伟, 等.组合式输尿管软镜联合钬激光治疗肾结石46例报告[J].中华泌尿外科杂志, 2012, 33 (1) :29-31.
[7]王宏亮.62例输尿管软镜下行激光碎石治疗肾结石的临床结果分析[J].河北医学, 2013, 19 (6) :913-914.
[8]程跃, 刘冠琳.输尿管软镜治疗上尿路结石的现状与展望[J].现代实用医学, 2012, 24 (6) :603-606.
[9]朱圣亮, 陈洪波, 胡小晖, 等.输尿管软镜下钬激光碎石术治疗肾结石:附65例报告[J].中国现代手术学杂志, 2012, 16 (6) :463-465.
[10]徐彦, 张犁, 张平, 等.电子输尿管软镜钬激光碎石治疗复杂肾结石45例分析[J].现代泌尿外科杂志, 2013, 18 (1) :40-42, 55.
[11]	[11]TAKAZAWA R, KITAYAMA S, TSUJII T.Int Successful outcome of flexible ureteroscopy with holmium laser lithotripsy for renal stones 2cm or greater[J].J Urol, 2012, 19 (3) :264-267.
[12]卢剑, 肖春雷, 张树栋, 等.新型组合式输尿管软镜治疗上尿路结石的初步体会[J].中国微创外科杂志, 2010, 10 (6) :517-519.
[13]	[13]AKMAN T, BINBAY M, OZGOR F, et al.Comparison of percutaneous nephrolithotomy and retrograde flexible nephrolithotripsy for the management of 2-4 cm stones:A matched-pair analysis[J].BJU Int, 2012, 109 (9) :1384-1389.
[14]仇让学, 孟庆超, 张磊, 等.硬性输尿管镜联合软性输尿管镜治疗输尿管结石合并肾结石203例报告[J].中华泌尿外科杂志, 2014, 35 (4) :319.
[15]高小峰, 李凌, 彭泳涵, 等.输尿管软镜联合钬激光治疗2~4 cm肾结石疗效分析[J].微创泌尿外科杂志, 2013, 2 (1) :47-49.
[16]杨嗣星, 宋超, 刘凌琪, 等.输尿管镜下钬激光碎石与经皮肾镜取石术治疗肾结石的疗效比较[J].中华泌尿外科杂志, 2013, 34 (9) :666-669.
[17] 徐彦, 张犁, 张平, 等.电子输尿管软镜钬激光碎石治疗复杂肾结石45例分析[J].现代泌尿外科杂志, 2013, 18 (1) :40-42.
[18]	[18]RAZVAN M, BOGDAN G, DRAGOS G, et al.Conventional fiberoptic flexible ureteroscope versus fourth generation digital flexible ureteroscope:A critical comparison[J].J Endourol, 2010, 21 (1) :17-21.
[19]叶利洪, 李雨林, 李王坚, 等.肾下盏解剖结构对输尿管软镜下钬激光碎石治疗肾下盏结石疗效的影响[J].中华泌尿外科杂志, 2013, 34 (1) :24-27.
[20]程跃, 严泽军, 谢国海, 等.“粉末化碎石”在输尿管软镜治疗肾结石中的临床应用研究[J].微创泌尿外科杂志, 2013, 2 (3) :162-164.
[21]	[21]TAKAZAWA R, KITAYAMA S, TSUJII T.Single‐session ureteroscopy with holmium laser lithotripsy for multiple stones[J].International Journal of Urology, 2012, 19 (12) :1118-1121.
[22]欧平, 邓晓洪, 郑军, 等.三种微创手术治疗复杂性输尿管上段结石的临床疗效及安全性比较[J].第三军医大学学报, 2014, 36 (8) :830-833.
[23]	[23]TAKAZAWA R, KITAYAMA S, TSUJII T.Successful outcome of flexible ureteroscopy with holmium laser lithotripsy for renal stones 2 cm or greater[J].International Journal of Urology, 2012, 19 (3) :264-267.

Relative Articles(20)

Relative Articles

[1]	Heng ZHANG, Jin-song ZHANG, Lei XING, Bo-bo XIONG. Clinical Analysis of Flexible Ureteroscope in Solitary Kidney and Non-solitary Kidney Stones. Journal of Kunming Medical University, 2021, 42(2): 91-95. doi: 10.12259/j.issn.2095-610X.S20210224
[2]	Xiong Bo Bo , Zhang Jing Song , Wang Hai Feng , Zuo Yi Gang , Wang Jian Song . . Journal of Kunming Medical University, 2019, 40(04): 66-70.
[3]	Duan Xian Zhong , Huang Ying Long , Zhu Xiao Rui , Dong Xue Li , Ma Dong Sheng , Wang Jian Song . . Journal of Kunming Medical University, 2018, 39(09): 82-86.
[4]	Zhang Jing Song , Shi Xin , Yang Qiao, Liu Jian He , Wang Guang , Wang Hui Tao , Ye Shu Hua , Zhang Heng . Efficacy of Flexible Ureterorenoscopy in Treatment of Functional Kidney Stones. Journal of Kunming Medical University, 2017, 38(11): 62-65.
[5]	Duan Xian Zhong . Modular Flexible Ureteroscope Combined with Holmium Laser Lithotripsy in the Treatment of Renal Calculi: Report of 72 Cases. Journal of Kunming Medical University,
[6]	Duan Kang . Application of a Pressure-measuring and Stone-extracting Ureteral Access Sheath in Flexible Ureteroscopy For Renal Stones. Journal of Kunming Medical University,
[7]	Tang Wen Guang . . Journal of Kunming Medical University,
[8]	Bi Hong . . Journal of Kunming Medical University,
[9]	Cao Xiao Jin . . Journal of Kunming Medical University,
[10]	Zhou Rui . . Journal of Kunming Medical University,
[11]	Liao Yong . . Journal of Kunming Medical University,
[12]	Zhang Rong . . Journal of Kunming Medical University,
[13]	Jin Zhi Xian . . Journal of Kunming Medical University,
[14]	Fang Ke Wei . . Journal of Kunming Medical University,
[15]	Guo Hai Xiang . . Journal of Kunming Medical University,
[16]	Zhan Hui . Treating Complex Upper Urinary Calculi With Different Type of Channel of Percutaneous Renal Fistula. Journal of Kunming Medical University,
[17]	Tian Zi Yang . . Journal of Kunming Medical University,
[18]	Zhan Hui . . Journal of Kunming Medical University,
[19]	. . Journal of Kunming Medical University,
[20]	Yu Yue Ping . . Journal of Kunming Medical University,