Comparision of the efficacy, feasibility, safety and patient satisfaction of percutaneous nephrolithotomy integrated ureteric renal catheter and conventional PCNL
10.3969/j.issn.1009-8291.2024.07.006
- VernacularTitle:采用自制一体式输尿管肾导管与常规方式行PCNL治疗肾结石的疗效、安全性及患者满意度对比
- Author:
Quanbin GUO
1
;
Maititursun MULADILJAN
1
;
Mamat AISANJIANG
1
;
Mamat AIKEBAIERJIANG
1
;
Zakir ABULIKIM
1
;
Alif WUSIMAN
1
;
Huiyun LU
1
;
Abdukadir ANWAR
1
Author Information
1. Department of Urology, People’s Hospital of Xinjiang Hotan Region, Hotan 848000, China
- Publication Type:Journal Article
- Keywords:
kidney stones;
percutaneous nephrolithotomy;
integrated ureteric renal catheter;
safety;
satisfaction
- From:
Journal of Modern Urology
2024;29(7):593-596
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To compare the safety, efficacy, and patient satisfaction of conventional percutaneous nephrolithotomy (PCNL) and PCNL with integrated ureteric renal catheter in the treatment of kidney stones, so as to provide reference for the clinical application of this method. 【Methods】 A retrospective analysis were conducted on 154 patients with kidney stones (stone diameter 1.5—3.5 cm) admitted to our hospital during Apr.2022 and May 2023.Based on the method of placing the double-J stent and nephrostomy tube after stone fragmentation, the patients were divided into the integrated group (using PCNL with integrated ureteric renal catheter,n=77) and the standard group (conventional PCNL technique,n=77).The general characteristics, preoperative, postoperative, and follow-up data were compared between the two groups. 【Results】 There were no significant differences in postoperative hospital stay \[ (5.78±2.50) d vs. (5.29±2.18) d, P=0.193] , postoperative pain score \[ (2.22±0.42) vs. (2.30±0.46) , P=0.273\], preoperative-postoperative change in hemoglobin \[ (-4.13±10.11) g/L vs. (-2.96±9.39) g/L, P=0.459\], hospitalization costs \[ (17 088.14±2 876.94) yuan vs. (16 389.74±2 427.37) yuan, P=0.105\], and stone clearance rate \[65 (84.4.6%) vs.66 (85.7%) , P=0.821\] between the two groups (P>0.05).The integrated group had significantly lower incidence of post-discharge discomfort symptoms than the standard group \[36.4% (28/77) vs. 90.9% (70/77), P=0.001\].The integrated group reported higher satisfaction (77 satisfied vs. 64 satisfied plus 13 basically satisfied).No postoperative sepsis, septic shock, or transfer to the intensive care unit occurred. 【Conclusion】 PCNL with integrated ureteric renal catheter and conventional PCNL demonstrate comparable safety and efficacy, but the integrated method yields higher satisfaction, suggesting its worthiness for clinical promotion and application under appropriate indications.
