Comparison and analysis of advantages and disadvantages of rigid and flexible ureteroscopy in treatment of renal multiple stones or staghorn calculi
10.3969/j.issn.1007-1989.2016.08.009
- VernacularTitle:肾脏多发或鹿角形结石多镜联合软镜碎石为主与硬镜碎石为主效果对比分析
- Author:
Jingyang GUO
;
Wenzeng YANG
;
Yanqiao ZHANG
;
Deqiang GU
;
Feng AN
;
Ruojing WEI
- Keywords:
percutaneous nephrolithotomy;
standard PCNL;
combination of rigid and flexible ureteroscopy;
renal multiple stones and staghorn calculi
- From:
China Journal of Endoscopy
2016;22(8):38-40
- CountryChina
- Language:Chinese
-
Abstract:
Objective Comparing and analyzing the advantages and disadvantages of rigid and flexible ureteroscopy in treatment of renal multiple stones or staghorn calculi. Methods 80 patients of renal multiple stones and staghorn calculi from May 2012 to March 2015 were randomly divided into two groups, group A: flexible ureteroscopy as adjuvant technique of balloon dilatation to establish standards channel of rigid nephrolithotripsy, group B: rigid ureteroscopy as auxiliary to flexible ureteroscopy nephrolithotomy. Clinical data of the two groups including operative time, blood loss, stones clearance rate, hospital stay and other indicators of surgical complications were comparatively analyzed. Results TAll the patients received successful surgical procedures. The operation time in group A was 50.4 min, gravel time was 25.6 min, while operation time in group B was 90.3 min, gravel time was 70.3 min. The differences between the two groups was statistically significant. Other indicators such as blood loss, stones clearance rate, complication rate showed no statistical significance. Conclusion Combined techniques of rigid and flexible ureteroscopy was proceeded widely to improve stone clearance rate when dealing with multiple stones and staghorn calculi, while rigid-ureterscopy-based combination has advantages of shorter operation time and this combination should be promoted in top units.
