Zhang Zhaolin, Xiao Shuiqing, Zeng Qingming, Liu Linwei, Xie Tianpeng, Wang Xiaoning
Department of Urology, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, China.
First Clinical Medical College, Gannan Medical University, Ganzhou, Jiangxi, China.
Front Surg. 2025 May 7;12:1520011. doi: 10.3389/fsurg.2025.1520011. eCollection 2025.
To evaluate the safety and efficacy of sotn ureteroscope system with vacuum suctioning device for treating complicated steinstrasse.
The medical records of 22 patients with complicated steinstrasse who underwent ureteroscopic lithotripsy via sotn ureteroscope system with vacuum suctioning device from January 2020 to March 2023 were summarized retrospectively. Five patients had ipsilateral renal calculi. The 11.5/12.5 F sotn ureteral access sheath (sotn-UAS) was placed below the lowermost section of the steinstrasse assisted by a 7.5/9.8 F standard ureteroscope, and then a 4.0/6.0 F console ureteroscope with laser fiber replaced the standard ureteroscope and was used for pulverizing the steinstrasse. The vacuum suctioning device was connected to the sotn-UAS for suctioning fragments and dusts.
All procedures were successfully completed. The steinstrasse was free in 22 patients according to kidney-ureter-bladder radiography one day postoperatively. No intraoperative complications were observed. A total of four patients experienced postoperative complications, including one patient who experienced fever and was treated with antipyretics, one patient who experienced hematuria and was cured with hemostatic agents, and two patients who experienced urinary tract infection and needed only antibiotics. Five patients with ipsilateral renal calculi were treated with medical expulsive therapy or retrograde intrarenal surgery after steinstrasse surgery, and four of these patients achieved stone free status at the 3-month follow-up.
The Sotn ureteroscope system with vacuum suctioning device is a feasible and safe treatment for complicated steinstrasse and provides satisfactory clinical outcomes.
评估带有真空抽吸装置的索通输尿管镜系统治疗复杂性铸型结石的安全性和有效性。
回顾性总结2020年1月至2023年3月期间22例通过带有真空抽吸装置的索通输尿管镜系统接受输尿管镜碎石术治疗的复杂性铸型结石患者的病历。5例患者存在同侧肾结石。在7.5/9.8F标准输尿管镜辅助下，将11.5/12.5F索通输尿管通路鞘（sotn-UAS）置于铸型结石最下段下方，然后用带激光光纤的4.0/6.0F控制台输尿管镜替换标准输尿管镜，用于粉碎铸型结石。真空抽吸装置连接至sotn-UAS以抽吸结石碎片和粉尘。
所有手术均成功完成。术后1天经肾脏-输尿管-膀胱造影检查，22例患者的铸型结石均消失。未观察到术中并发症。共有4例患者出现术后并发症，包括1例发热患者，经使用退烧药治疗；1例血尿患者，经使用止血剂治愈；2例尿路感染患者，仅需使用抗生素治疗。5例同侧肾结石患者在铸型结石手术后接受了药物排石治疗或逆行性肾内手术，其中4例患者在3个月随访时结石清除。
带有真空抽吸装置的索通输尿管镜系统是治疗复杂性铸型结石的一种可行且安全的方法，并提供了令人满意的临床结果。
