Comparison of efficacy of flexible ureteroscopic lithotripsy vs .percutaneous nephrolithotomy in the management of renal stones 2 cm or greater
Dong Chuanjiang
Xie Zonglan
Zhang Lusheng
Chen Xiaobo
Dong Ziqiang
Abstract：Objective:To compare the safety and clinical effects of the flexible ureteroscope lithotripsy vs.per-cutaneous nephrolithotomy lithotripsy for the management of renal stones 2 cm or greater.Methods:We retro-spectively analyzed the records of 60 patients who underwent percutaneous nephrolithotomy or flexible ureterosco-py lithotripsy in our hospital from March 2012 to March 2015.In this study 30 patients were given flexible uret-eroscopy lithotripsy,and 30 patients were subjected to percutaneous nephrolithotomy treatment.The operative time,stone clearance rate,hospitalization time and complication rate were compared.The intragroup comparison was done by t-test,and a probability (P)value of less than 0.05 was taken to indicate statistical significance.Re-sults:In flexible ureteroscopy group and percutaneous nephrolithotomy group the stone diameter was (2.0±0.5) and (2.1±0.4)cm (P>0.05),operative time was (58.4±7.7)min and (39.4±7.5 )min,hospitalization time was (7.3±1.6)days and (14.6±1.5)days,and the complication rate was 10.0% and 6.7% respectively.Con-clusions:In comparison to percutaneous nephrolithotomy lithotripsy,the flexible ureteroscopy lithotripsy enjoys a minimal trauma and low complication rate.The flexible ureteroscopy lithotripsy is an alternative treatment in the management of renal stones 2 cm or greater.
Keywords：flexible ureteroscopykidney stonespercutaneous nephrolithotomyholmium laser
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 196-198 )