Clinical Analysis of Flexible Ureteroscope in Solitary Kidney and Non-solitary Kidney Stones

Heng ZHANG; Jin-song ZHANG; Lei XING; Bo-bo XIONG

doi:10.12259/j.issn.2095-610X.S20210224

Volume 42 Issue 2

Mar. 2021

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Article Navigation > Journal of Kunming Medical University > 2021 > 42(2): 91-95

Heng ZHANG, Jin-song ZHANG, Lei XING, Bo-bo XIONG. Clinical Analysis of Flexible Ureteroscope in Solitary Kidney and Non-solitary Kidney Stones[J]. Journal of Kunming Medical University, 2021, 42(2): 91-95. doi: 10.12259/j.issn.2095-610X.S20210224

Citation:

Heng ZHANG, Jin-song ZHANG, Lei XING, Bo-bo XIONG. Clinical Analysis of Flexible Ureteroscope in Solitary Kidney and Non-solitary Kidney Stones[J]. Journal of Kunming Medical University, 2021, 42(2): 91-95. doi: 10.12259/j.issn.2095-610X.S20210224

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Clinical Analysis of Flexible Ureteroscope in Solitary Kidney and Non-solitary Kidney Stones

doi: 10.12259/j.issn.2095-610X.S20210224

Heng ZHANG¹,
Jin-song ZHANG^{1
,
,},
Lei XING^{2
,
,},
Bo-bo XIONG¹

1.
One Ward of Urology，The 2nd Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650101
2.
Dept. of Urology，The 2nd People’s Hospital of Kunming，Yunnan Institute of Urology，Kunming Yunnan 650201，China

Received Date: 2020-11-22
Publish Date: 2021-03-05

Abstract

Abstract

Objective To evaluate the clinical effect of flexible ureteroscope lithotripsy on solitary and non-solitary renal calculi. Methods We collected 20 cases of solitary renal calculi and 48 cases of non-solitary renal calculi in the second affiliated hospital of kunming medical university between January 2018 and April 2019. In 20 patients with solitary renal calculi, there were 14 male cases, 6 female cases, the average age was （51.05±9.49） years, the calculi was 0.7～2.0 cm in diameter, an average of 1.34 cm, there were 9 cases of right kidney stones, 11 cases of left kidney stones. In 48 patients with non-solitary renal calculi, there were 30 male cases of male and 18 female cases, aged 23～64, the average （51.75±7.68） years of age, the Calculi was in 0.7～2.0 cm in diameter, an average of 1.46 cm, there were 27 cases of right kidney stones and 21 cases of left kidney stones. All patients received general anesthesia, Under the guidance of super smooth black guide wire, the sheath was put in first and then the flexible ureteroscope was put in. Among them, 6 cases failed to put in the flexible ureteral sheath and entered along the guide wire to find the renal pelvis stones and smash them. Then we observed the operation time, hospitalization days, stone clearance rate （after 1 month of therapy）, and the postoperative complications in the two groups. Results In the solitary renal calculi group, the average operation time was （72.10±8.20） min, average hospitalization days was （3.40±1.04） d, SFR after 1 month of therapy was 80% （16/20）, the incidence of complications was 20.00% （4/20）, in the non-solitary renal calculi group, the average operation time was （71.93±10.00） min, average hospitalization days was （3.35±1.06） d, SFR after 1 month of therapy was 75% （36/48）, the incidence of complications was 14.58% （7/48）. There were no statistically significant differences between the two groups in terms of operation time, length of stay, SFR（after 1 month） and complications （P > 0.05）. The renal function of the solitary renal calculi group one month after surgery was statistically significant compared with that before surgery （P < 0.05）, and the renal function of the non-solitary renal calculi group was not significantly different from that before surgery （P > 0.05）. Conclusion Flexible ureteroscope lithotripsy has the advantages of feasibility, relative safety, high stone clearance rate and low infection rate in the treatment of isolated kidney stones and non-isolated kidney stones.
- Flexible ureteroscope,
- Solitary kidney,
- Renal calculi,
- Stone-free rate

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References(14)

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