Comparison on Curative Effect of Flexible Ureteroscopic Lithotripsy and Minimally Invasive Percutaneous Nephrolithotomy in Management of 1–2cm Renal Calculi
JIN Jing-miao,WEI Wei,MAI Yuan
Department of Urology, FoshanHosptial of TCM, Foshan 528000, China
Abstract:
Objective To compare the curative effect of flexible ureteroscopic lithotripsy and minimally invasive percutaneous nephrolithotomy in treatment of 1–2 cm kidney stones, and the differences in postoperative pain degree between the two groups, as well as to evaluate the safety of both. Methods Totally 120 patients with renal stones (1–2 cm) undergoing surgery in our hospital were retrospective analyzed and divided into .exible ureteroscopic lithotripsy group (group A, 57 cases) and minimally invasive percutaneous nephrolithotomy group (group B, 63 cases). Ultimately, the operative time, intraoperative blood loss (calculated by postoperative hemoglobin declined amount), stone-free rate, postoperative pain, complications, average hospitalization time and satisfaction were compared. Results There were no significant differences in age, gender, stone size, operation time, stone-free rate, and complications between groups A and B. However, there were differences in intraoperative blood loss, average hospitalization time, postoperative pain, and satisfaction, and the difference was signi.cant (P<0.05). Conclusions The .exible ureteroscopic lithotripsy has similar effect as minimally invasive percutaneous nephrolithotomy for the treatment of kidney stones about 1–2 cm in terms of average operative time, stone-free rate, and complications, but excels minimally invasive percutaneous nephrolithotomy in intraoperative blood loss, average hospitalization time, pain degree and comfort degree, which can be considered as the .rst choice for the treatment of 1–2 cm kidney stones.
