Effect of Preoperative Double-J Ureteral Stenting before Flexible Ureterorenoscopy on Stone-free Rates and Complications
Effect of Preoperative Double-J Ureteral Stenting before Flexible Ureterorenoscopy on Stone-free Rates and Complications
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DOI：
10.1007/s11596-021-2328-z
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发表时间：
2021-02-01
影响因子：
2.4
通讯作者：
Xing, Jin-chun
中科院分区：
文献类型：
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作者：
Bai, Pei-de;Wang, Tao;Xing, Jin-chun
目的探讨输尿管肾镜（FURS）术前双J管（DJ）置管治疗泌尿系结石的效果。我们回顾性入组了2014年1月至2017年12月接受FURS的306例连续患者。根据术前是否行DJ输尿管支架置入术分为两组。分类变量采用卡方检验，连续变量采用Kruskal-Wallis检验，比较基线特征（年龄、性别、结石位置、结石大小、手术成功率、手术时间、术后第一天结石清除率、术后第一个月结石清除率、总并发症发生率）。共有306例患者入选本研究。FURS前DJ支架植入组包括203例（66.3%）患者，FURS前非DJ支架植入组包括103例（33.7%）患者。FURS前DJ支架组与较短的手术时间显著相关（53.8 vs. 59.3 min，P
The effect of preoperative Double-J (DJ) ureteral stenting before flexible ureterorenoscopy (FURS) in the treatment for urinary stones was evaluated. We retrospectively enrolled 306 consecutive patients who underwent FURS from Jan. 2014 to Dec. 2017. All the patients were classified into two groups according to whether they had DJ ureteral stenting before FURS. Baseline characteristics (age, sex, stone location, stone size, surgical success rate, operation time, stone-free rate of the first day after surgery, stone-free rate of the first month after surgery, total complication rate) were compared using Chi-square test for categorical variables and Kruskal-Wallis test for continuous variables. In total, 306 patients were included in this study. The group of DJ stenting before FURS included 203 (66.3%) patients, and non-DJ stenting before FURS was observed in 103 (33.7%) patients. The group of DJ stenting before FURS was significantly associated with a shorter operation time (53.8 vs. 59.3 min, P