Abstract：objective： To compare the effect of ureteral catheter indwelling or double J catheter indwelling through cystoscope before percutaneous nephrolithotomy on the safety and effectiveness of percutaneous nephrolithotomy. Methods： The clinical data of 157 patients underwent PCNL from January 2017 to December 2017 were retrospectively analyzed. Among them, 89 cases were retrograde indwelling F5 ureteral catheter (group A) and 68 cases were retrograde indwelling F4.7 double J catheter (group B). The differences in the parameters such as channel establishment time, operation time, renal hemorrhage（or not）, stone clearance rate, postoperative renal function changes, and postoperative hemoglobin changes were compared between the two groups. Results： There was no significant differences between the two groups in the time of establishing the channel, the time of operation, the condition of renal hemorrhage, the rate of stone clearance, the changes of renal function and hemoglobin after operation (P>0.05). Conclusion： Indwelling F5 ureteral catheter and indwelling double J tube for artificial hydronephrosis have no significant effect on the safety and efficacy of percutaneous nephrolithotomy, the differences is not statistically significant. The preoperative indwelling of double J tube can shorten the operation time, give the surgeon more choices on the puncture path, reduce the risk of infection, and improve the success rate of double J tube indwelling. Therefore, it can be advocated that double J catheter should be placed before operation instead of indwelling ureteral catheter.
刘跃闻, 李建中, 周亚军, 李昕. 逆行留置输尿管导管与留置双J管对经皮肾镜碎石术的安全有效性的对比研究及临床体会[J]. 微创泌尿外科杂志, 2019, 8(1): 25-28.
LIU Yuewen, LI Jianzhong, ZHOU Yajun, LI Xin. Comparative study and clinical experience of retrograde indwelling ureteral catheter and indwelling double J tube for percutaneous nephrolithotomy. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2019, 8(1): 25-28.
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