Galal Ehab Mohamad, Anwar Ahmad Zaki, El-Bab Tarek Khalaf Fath, Abdelhamid Amr Mohamad
Department of Urology, Minia University, Minia, Egypt.
Int Braz J Urol. 2016 Sep-Oct;42(5):967-972. doi: 10.1590/S1677-5538.IBJU.2015.0644.
We analyzed the outcome and complications of rigid (R-URS) and flexible (F-URS) ureteroscopic lithotripsy for treatment of proximal ureteric stone (PUS).
Retrospective data of 135 patients (93 males and 42 females) submitted to R-URS and F-URS for treatment of PUS in the period between July 2013 and January 2015 were investigated. (R-URS, group 1) was performed in 72 patients while 63 patients underwent (F-URS, group 2).We compared the 2 groups for success, stone characteristics, operative time, intraoperative and postoperative complications.
The overall stone free rate (SFRs) was 49/72 (68%) in group 1 and 57/63 (91%) patients in group 2, (P=0.005). The operative time was shorter in group 1 in comparison to group 2 with statistically significant difference (P=0.005). There was not any statistically significant difference between 2 groups in complication rate (P=0.2). Conclusıon: Both R-URS and F-URS could be a feasible option for treatment of PUS. R-URS is less successful for treatment of PUS and should be used cautiously and with availability of F-URS.
我们分析了硬性输尿管镜碎石术（R-URS）和软性输尿管镜碎石术（F-URS）治疗近端输尿管结石（PUS）的疗效及并发症。
回顾性研究2013年7月至2015年1月期间135例接受R-URS和F-URS治疗PUS的患者（93例男性，42例女性）的数据。72例患者接受R-URS（第1组），63例患者接受F-URS（第2组）。我们比较了两组的成功率、结石特征、手术时间、术中及术后并发症。
第1组的总体无石率（SFRs）为49/72（68%），第2组为57/63（91%），（P = 0.005）。第1组的手术时间比第2组短，差异有统计学意义（P = 0.005）。两组并发症发生率差异无统计学意义（P = 0.2）。结论：R-URS和F-URS都是治疗PUS的可行选择。R-URS治疗PUS的成功率较低，应谨慎使用，且需有F-URS可用。
