Effect of ureteroscopic holmium laser lithotripsy versus percutaneous nephrolithotomy for the treatment of ureteropelvic junction stones
10.7619/jcmp.201809021
- VernacularTitle:输尿管镜下与经皮肾镜钬激光碎石术治疗肾盂输尿管连接部结石的比较研究
- Author:
Deyao WU
1
;
Jian ZHOU
;
Ping QU
;
Huixing PAN
Author Information
1. 江苏省盐城市第一人民医院 泌尿外科
- Keywords:
ureteropelvic junction calculi;
ureteroscopic holmium laser lithotripsy;
percutaneous nephroscope holmium laser lithotripsy;
efficacy
- From:
Journal of Clinical Medicine in Practice
2018;22(9):79-81,85
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare effect of ureteroscopic holmium laser lithotripsy versus percutaneous nephrolithotomy for the treatment of ureteropelvic junction (UPJ) stones.Methods Forty-three patients with UPJ stone in our hospital were divided into percutaneous nephrolithotomy group (n =24) and ureteroscopy group (n =19).The clinical efficacy and postoperative inflammatory status were compared between the two groups.Results The long-term stone clearance rate of percutaneous nephrolithotomy group was higher than that of the ureteroscopy group (95.8％ vs.73.7％,P ＜ 0.05).Compared with ureteroscopy group,percutaneous nephrolithotomy group had higher stone success rate and immediate stone removal rate;however,the operation time,intraoperative blood loss,indwelling time of catheter and length of stay in percutaneous nephrolithotomy group were longer than that in the ureteroscopy group.Furthermore,the duration of hematuria in the percutaneous nephrolithotomy group was longer,and the incidence rate of inflammatory reaction syndrome was lower compared with the ureteroscopy group.Conclusion Both therapies have a good therapeutic efficacy for the treatment of UPJ stones.The percutaneous nephrolithotomy has higher stone clearance rate and better curative efficacy.
