Clinical curative effect comparison of percutaneous nephrolithotomy and flexible ureteroscope lithotripsy for the treatment of renal calculus equal or smaller than 2 cm
10.3969/j.issn.1671-8348.2015.30.012
- VernacularTitle:PCNL 与 FURL治疗小于或等于2 cm 肾结石的临床疗效比较
- Author:
Jingluo PENG
;
Gang ZHOU
;
Xingsheng LIU
;
Qing JIANG
- Publication Type:Journal Article
- Keywords:
nephrolithotomy,percutaneous;
kidney calculi;
clinical curative effect;
flexible ureteroscope lithotripsy
- From:
Chongqing Medicine
2015;(30):4210-4212
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical curative effect of percutaneous nephrolithotomy (PCNL) and flexible uretero‐scope lithotripsy (FURL) for the treatment of renal calculus ≤2 cm .Methods Totally 148 patients with kidney stone ≤2 cm whom have taken operation treatment in our hospital were chosen from January 2014 to December 2014 .Among them ,81 patients were taken PCNL treatment (PCNL group) and 67 patients were taken FURL treatment (FURL group) .Clinical curative effect were compared .Results There was no statistically significant difference in the comparison of stone clearance rate ,fever rate and postoperative WBC increase (P>0 .05);the operation time of PCNL group (64 .21 ± 11 .71)min was shorten than the FURL group (107 .32 ± 16 .35)min ,the postoperative hospital stay of PCNL group (6 .51 ± 1 .92)d was longer than the FURL group (3 .28 ± 1 .24)d ,the Hb decrease after operation of PCNL group (13 .31 ± 2 .71)g/L was higher than the FURL group (3 .88 ± 2 .10)g/L , the postoperative hs CRP increase of PCNL group (14 .21 ± 1 .62)mg/L was higher than the FURL group (5 .23 ± 1 .14)mg/L ,the differences were statistically significant (P<0 .05) .Conclusion For the treatment of renal calculus ≤2 cm ,the FURL has a great advantage on reducing postoperative complications ,decreasing the trauma of operation and shorten postoperative hospital stay .
