Clinical research on application value of flexible ureteroscope combined with extracorporeal shock wave lithotripsy in patients with kidney stones with a diameter of more than 2cm
10.3969/J.ISSN.1672-8270.2015.10.032
- VernacularTitle:输尿管软镜联合体外冲击波碎石在肾结石治疗中的应用研究
- Author:
Yong LIU
;
Jia GUO
;
Tao WANG
- Publication Type:Journal Article
- Keywords:
Renal calculus;
Flexible ureteroscope;
Extracorporeal shock wave lithotripsy;
Percutaneous nephrostolitho tomy
- From:
China Medical Equipment
2015;(10):100-102,103
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the reliability and clinical implement of flexible ureteroscope combined with extracorporeal shock wave lithotripsy to treat the kidney stones with a diameter of more than 2cm. Methods:The diagnosed 80 cases of kidney stones (all with a diameter of more than 2cm) patients in our hospital were chosen, randomly divided into two groups, URL group and PCNL group,each of them with 40 cases. Surgical curative effect, operation time, postoperative complications, hospitalization days and the change of NGAL levels and the change of urine levels Kim-1 preoperative and postoperative blood 3 days of two groups were observed and compared. Results: Comparing with the PCNL group, the surgical curative effect, operation time and postoperative complications of the URL group have no significant difference, but the hospitalization days between are significantly different(t=8.433, P<0.05);In terms of NGAL, Kim-1, the postoperative 1d of PCNL group is significantly higher than preoperative, NGAL postoperative 1d of URL group is significantly higher than preoperative (t=3.319, P<0.05). Conclusion:It was reliable that flexible ureteroscope combined with extracorporeal shock wave lithotripsy to treat the kidney stones with a diameter of more than 2cm, lower complication rate, worthy of clinical.
