Comparison of flexible ureteroscope holmium laser lithotripsy and percutaneous nephrolithotomy in treating renal stones of≤2cm:a 5-years restrospective study
10.3969/j.issn.1005-6483.2017.06.022
- VernacularTitle:软性输尿管镜钬激光碎石术与经皮肾镜碎石取石术治疗直径≤2cm肾结石5年 回顾性分析
- Author:
Meng WU
;
Liangbing LIU
;
Dongfeng YI
- Keywords:
renal pelvic calculus;
flexible ureteroscope holmium laser lithotripsy;
percutaneousnephrolithotomy;
holmium laser lithotripsy
- From:
Journal of Clinical Surgery
2017;25(6):469-471
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare of flexible ureteroscope holmium laser lithotripsy and percutaneous nephrolithotomy in treating renal stones of ≤2cm.Methods In this retrospective study,we compared 120 patients of renal pelvic stones of ≤2cm size treated with FURS(n=62)or PCNL(n=58).Factors such as operation time,hospitalization time,stone-free rate(SFR),drop in haemoglobin level,and complications were analyzed.Results The stone burden of the FURS group and PCNL group was(1.4±0.2)cm and(1.6±0.3)cm respectively.In FURS group,The operation time was(28±12)min with postoperatlve fever in 3 cases;he hospitalization time was(3.7±1.8)days.The decrease of hemoglobin was(0.18±0.06)g/L.No major complication was recorded.The SFR was 85.5%(53/62)one week postoperatively and 95.2%(59/62)one month postoperatively.In PCNL group,the operation time was (42±15)min with postoperative fever in 2 cases and bleeding in 2 case.The hospitalization time was 6.8±1.5 days.The decrease of hemoglobin was(14.30±3.50)g/L.The SFR was 91.4%(53/58)one week postoperatively and 96.6%(56/58)one month postoperatively.Conclusion For renal stones≤2cm,FURS has the advantages of shortening operation time,reducing blood transfusion requirements,decreasing postoperative complications with a farely SFR compared with PCNL.FURS is a good alternative.
