Renal calculi
Conditions
Interventions
Lateral position suction sheath group:using suction sheath, lateral recumbent position
Lateral position ordinary sheath group:using non-suction sheath, lateral recumbent position
Lithotomy position suction sheath group:using suction sheath, lithotomy position
Lithotomy position ordinary sheath group.:using non-suction sheath, lithotomy position
Sponsors
The Fifth Affiliated Hospital of Guangzhou Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1.Patients with renal calculi with a single stone diameter of 2-3 cm or a stone burden of 4.18 cm³-14.13 cm³ and requiring flexible ureteroscopy for treatment. 2.Ages between 18 and 70 years old, regardless of gender. 3.Subjects without mental illness or language dysfunction, who can understand the situation of this study and voluntarily agree to participate in the study.
Exclusion criteria
Exclusion criteria: 1.Patients with severe hydronephrosis on the affected side. 2.Those with upper urinary tract malformation or stricture. 3.Patients with uncontrolled urinary tract infection before surgery (blood white blood cell count greater than 10*10^9/L, bacteria seen on urine sediment smear examination or positive urine bacterial culture. After infection control and normalization of indicators, they can continue to be enrolled). 4.Those with poorly controlled blood sugar and blood pressure (systolic blood pressure greater than 150 mmHg or less than 90 mmHg, diastolic blood pressure greater than 100 mmHg or less than 60 mmHg. Fasting blood sugar greater than 7.0 mmol/L, postprandial blood sugar greater than 11.1 mmol/L, and glycosylated hemoglobin greater than 6.5%). 5.Pregnant women with renal calculi. 6.Those who are unable to tolerate surgery as evaluated before surgery. 7.Those who, in the opinion of the researcher, have other situations not suitable for participating in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Stone clearance rate;Clavien-Dindo Complication Score; | — |
Secondary
| Measure | Time frame |
|---|---|
| operation time;length of hospital stay;Basal intrapelvic pressure;Mean intrapelvic pressure;Maximum intrapelvic pressure;duration of intrapelvic pressure greater than 40 cm H2O;white blood count;Neutrophil ratio;Hemoglobin count;Platelet count;Procalcitonin;Interleukin 6;Serum potassium;Serum sodium;serum creatinine;The days of feve; | — |
Countries
China
Contacts
Public ContactJun Bian
The Fifth Affiliated Hospital of Guangzhou Medical University
Outcome results
None listed