Clinical efficacy analysis of flexible ureteroscopic lithotripsy combined with percutaneous nephrolithotomy treating for patients with staghorn calculi
10.3969/j.issn.1005-6483.2017.04.021
- VernacularTitle:输尿管软镜碎石术联合微创经皮肾镜取石术治疗部分鹿角状肾结的临床疗效分析
- Author:
Guanfeng WANG
;
Ru CHEN
;
Feng MA
- Keywords:
flexible ureteroscopic lithotripsy;
percutaneous nephrolithotomy;
partial staghorn calculi;
stone free rate
- From:
Journal of Clinical Surgery
2017;25(4):304-306
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy of flexible ureteroscopic lithotripsy combined with percutaneous nephrolithotomy treating for partial staghorn calculi.Methods 84 patients diagnosed as partial staghorn calculi in our hospital were randomly divided into group A and B with each group 42 patients.Patients in group A received the conventional minimally invasive percutaneous nephrolithotomy in the prone position,and patients in group B received the percutaneous nephrolithotomy combined with flexible ureteroscopic lithotripsy in the modified Valdivia position.The post-operative stone free rate and complications were recorded.Results The surgery time in group B was longer than that in group A [(106.44±18.46)min vs(83.69±10.29)min],with statistically significant difference(P<0.05).However,the first stone free rate in group B was higher than that in group A(85.71% vs 59.52%,P<0.05),and the blood loss in group B was lower than that in group A [(70.02±9.15)ml vs(87.41±9.89)ml,P<0.05].The common complication of patients in two groups was fever(temperature >38.5℃),but there was no notably difference between the two group(P>0.05).Conclusion Compared with the regular percutaneous nephrolithotomy,flexible ureteroscopic lithotripsy combined with percutaneous nephrolithotomy treating partial staghorn calculi has the shorter operation time,the less blood volume and the higher first stone free rate.Furthermore,the combination method did not significantly increasing the incidence of patient's complication.
