Influences of antegrade ureteral stent placement on the surgical time and renal function in patients with tuberculous ureteral stricture
WangShengpeng
GengzangJiancuo
Li Yongfen
Li Zhengping
Abstract：Objective:To investigate the influences of antegrade ureteral stent placement on the operative time and renal function in patients with tuberculous ureteral stricture.Methods:A total of 64 patients with tuberculous ure-teral stricture admitted to our hospital from February 2020 to February 2022 were selected,all patients were assigned to the control group(n=32)and the study group(n=32)according to the random number table method,the study group was treated with anterograde ureteral stent implantation,while the control group was treated with retrograde ureteral stent implantation;blood urea nitrogen(BUN)was measured by urease method;serum creatinine(Scr)was measured by immunoturbidimetry;the level of cystatin C(CysC)was detected by ELISA;the duration of surgery,success rate ofone-time catheterization,intraoperative bleeding volume,hospitalization days,clinical symptom re-lief,postoperative complications,levels of BUN,Scr and CysC,and postoperative follow-up were compared be-tween the two groups.Results:The successrate of one-time catheterization was significantly higher in study group than in control group,and the surgical duration and hospital stay were significantly lower in study group than in con-trol group,and the difference was significant(P＜0.05).Compared with the control group,the study group had a high-er reliefrate of clinical symptoms[84.38%(27/32)vs.59.38%(19/32)]and a lower rate of complications[25.00%(8/32)vs.59.38%(19/32)],and the differences were statistically significant[χ2=4.947,P=0.026;χ2=7.752,P= 0.005].There were no statistically significant differences in preoperative levels of BUN,Scr,and CysC between the two groups(P＞0.05).Compared with preoperative levels,postoperative levels of BUN,Scr,and CysC were all signif-icantly lower and levelof study group were lower than thatof the control group,the difference being statistically signifi-cant(P＜0.05).No ureteral stent displacement,stenosis,or occlusion occurred during postoperative follow-up.Con-clusion:The antegrade ureteral stent placement is more beneficial to the treatment of tuberculous ureteral stricture,with short operation time,high success rate,fewer complications,high reliefrate of clinical symptoms,and rapid re-covery of renal function.
Keywords：uretertuberculosisrenal function
Publication Date：2023-12-05
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 401-405 )