Influence of two kinds of lithotripsy on the stone clearance rate,perioperative clinical index and postoperative complications of patients with complicated renal calculi

Sun Yi; Luo Chengjun; Zhang Pan; Huang Yu

doi:10.19558/j.cnki.10-1020/r.2017.05.010

Abstract：Objective:To investigate the influence of two kinds of lithotripsy on the stone clearance rate,perioperative clinical index and postoperative complications of patients with complicated renal calculi.Methods:A total of 120 patients with complicated renal calculi were chosen in the period from March 2014 to March 2016 in our hospital and the patients were randomly divided into 2 groups including group A (60 patients) with FURS and group B (60 patients) with PCNL.The stone clearance rate,the levels of perioperative clinical index,the levels of NGAL before and after operation and the incidence of postoperative complications of both groups were compared.Results:The stone clearance rate at first stage of group B was significantly higher than in group A (P＜0.05).There was no significant difference in the stone clearance rate at second stage between 2 groups (P＞0.05).The operation time in group B was significantly shorter than in group A (P＜0.05).The blood loss volume in operation and hospitalization time of group A was significantly less than in group B (P＜0.05).The levels of NAGL in 12 h,24 h and 48 h after operation of group A were significantly lower than in group B (P＜0.05).There was no significant difference in the incidence of postoperative complications between two groups (P＞0.05).Conclusions:Two kinds of lithotripsy in the treatment of patients with complicated renal calculi possess well clinical effects and safety;FURS application possesses the advantages including less trauma and postoperative renal function,shorter recovery time and hospitalization time;and PCNL in the treatment of complicated renal calculi can efficiently shorten the operation time and improve the stone removal effects.