Minimally invasive percutaneous nephrolithotomy and big channel percutaneous nephrolithotomy effect com-parison
10.3760/cma.j.issn.1008-6706.2015.08.022
- VernacularTitle:微创经皮肾镜与大通道经皮肾镜治疗肾结石的效果比较
- Author:
Jinjun CHANG
;
Ruiqing MENG
;
Guojun XUE
;
Jing XU
;
Haisong HAN
;
Jianjie GOU
;
Yuye JIA
- Publication Type:Journal Article
- Keywords:
Minimally invasive percutaneous nephrolithotomy;
Big channel percutaneous nephrolithotomy;
Renal stone;
Renal function
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(8):1184-1186,1187
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare minimally invasive percutaneous nephroscope and channel percutaneous nephroscope clinical curative effect for the treatment of kidney stones.Methods According to the digital table, 1 10 cases of patients with renal stones were selected and randomly divided into the control group 58 cases and obser-vation group of 52 cases.The control group underwent big channel percutaneous nephrolithotomy(PCNL),the observa-tion group were treated by minimally invasive percutaneous nephrolithotomy(MPCNL).Compared the two groups of patients with stone size,operation time,bleeding volume,decreased hemoglobin values before and after operation,and one-staged stone clearance rate.The changes of renal function in the two groups of patients before and after operation were analyed.Results The two groups with operation were completed successfully,no bleeding and other operation condition happened.The operation hemorrhage of the control group was (118.7 ±31.3)mL,the operation hemorrhage of observation group was (56.8 ±31.7)mL,there was a significant difference between the two groups (t=-10.192, P<0.05).In the control group,the stone size,operation time,operation decreased hemoglobinvalue and one-staged stone clearance rate were (19.2 ±4.8)mm,(115.8 ±44.7)min,(11.2 ±3.9)g/L,88.5%.In the observation group,the stone size,operation time,operation decreased hemoglobinvalue and one-staged stone clearance rate were (21.5 ±7.3)mm,(126.3 ±25.7)min,(56.8 ±31.7)g/L,78.1%.The two groups showed no significant differ-ences (P>0.05).Renal function of the two groups were not significantly changed before and after 4 weeks of opera-tion,the two groups showed no significant differences(P>0.05 ).Conclusion The curative effects of two kinds of operations are similar,but the amount of hemorrhage of minimally invasive nephrolithotomy is less.Two kinds of opera-tion methods had no significant effects on patients renal function.
