Ureteral calculi
Conditions
Interventions
Tubeless percutaneous renal channel adjuvant therapy group (Group A):Tubeless percutaneous renal channel assisted therapy
Ureteroscopy group (Group B):None
Sponsors
Affiliated Hospital of Zunyi Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1.Patients with incarcerated middle and lower ureteral calculi were clearly diagnosed Diagnostic criteria: 1). History (definite diagnosis) >=8 weeks 2). The stones did not move after two courses of stone removal or 4 to 6 weeks. 3). Transverse diameter >=0.8~1cm. 4). Moderate or higher hydronephrosis Pyelodissociation between 10 and 20mm with mild calyceal dilation is mild hydrops, pyelodissociation between 20 and 40mm with calyceal dilation is moderate hydrops, pyelodissociation greater than 40mm with significant calyceal dilation, disappearance of calyceal dome and significant pressure on renal parenchyma is severe hydrops. Normal renal cortical thickness is (6.45±1.63)mm, when the renal cortex is less than 4.35mm, it indicates cortical thinning. 5). Acute asthenia. The diagnosis of incarcerated ureteral calculi is valid if two of the above five conditions are present. 2.KUB or CT indicates that the stone is located in the middle and lower ureter. 3.The patient and his family agreed that the hospital should collect clinical data for research and analysis.
Exclusion criteria
Exclusion criteria: 1 Patients with incomplete clinical data and lost follow-up after surgery; 2 Patients with upper ureteral calculi; 3 Patients with major organ dysfunction can not tolerate surgery and uncontrolled systemic hemorrhagic disease; 4 Preoperative primary urinary system infection symptoms were not effectively controlled; 5 Severe urethral stricture, intracavitary surgery can not solve; 6 Hip deformity, lithotomy is difficult.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Gravel cleaning time;Total operating time;Postoperative blood transfusion rate;Incidence of postoperative interventional therapy;Incidence of postoperative sepsis; | — |
Countries
China
Contacts
Public ContactShulian Chen
Department of Urology,Affiliated Hospital of Zunyi Medical University
Outcome results
None listed