The comparison of curative effect of minimally invasive percutaneous nephrolithotomy in two lithotripsy
10.3760/cma.j.issn.1008-6706.2011.11.029
- VernacularTitle:经皮肾镜下两种碎石术治疗巨大肾结石的疗效比较
- Author:
Hongxing HUANG
;
Zhijian LI
;
Fajiang LI
;
Yingjiang SHI
- Publication Type:Journal Article
- Keywords:
Kidney calculi;
Nephrolithotomy Percutaneous;
Lithotripsy,laser
- From:
Chinese Journal of Primary Medicine and Pharmacy
2011;18(11):1498-1500
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy of minimally invasive pereutaneous nephrosomy for complicated renal calculi between holimium laser hthotfipsy and ultrasonic lithotripsy.Methods 120 patients with renal calculi according to the different treatment methods,were divided into holimium laser lithotfipsy group 60 cases(group A)and tdtrasonic lithotripsy group 60 cases(group B).The index of operative time、hemoglobin drop blood transfusion rate、postoperative hospital stay、stone clearance rate were observed.Results Operative time(60.8±16.4)min,postoperative hospital stay(7.5±2.0)d in group A were shorter than[(80.5±18.5)min,(9.5±2.5)d]in group B (t=2.328,2.240,all P＜O.05);Hemoglobin decline(5.0%)in group A was lower than the(9.0%)in group B (x2=3.89,P＜0.05);Calculi clearance rate(81.7%)in the B group was highter than that(61.6%)in group B (x2=3.98,P＜0.05);Complication incidence of postoperative 10.O%in group A compared with group B 13.3%had no significant difference(x2=1.56,P＞0.05).Conclusion Percutaneous nephrostomy with ultrasonic lithotripter for complicated renal calculi had the advantages of mini-invasion,less operative time,less bleeding,and faster clearance calculi efficiency compared with laser lithotripsy.
