Effect of Flexible Ureteroscopy Lithotripsy and Percutaneous Nephrolithotomy in the Treatment of 2-3 cm Upper Urinary Tract Stones
YU Weili
TONG Shuangxi
YE Xinglong
Abstract：Objective:To compare the effect of flexible ureteroscopy lithotripsy(FURL)and percutaneous nephrolithotomy(PCNL)in the treatment of 2-3 cm upper urinary tract stones.Method:The clinical data of 95 patients with 2-3 cm upper urinary tract stones admitted to the Affiliated Hospital of Beihua University from January 2018 to December 2022 were retrospectively analyzed.They were divided into FURL group(40 cases)and PCNL group(55 cases)according to different surgical methods.PCNL group was given PCNL,FURL group was given FURL.Perioperative indexes,stone clearance rate,hemoglobin decline value,preoperative and postoperative 1 d renal function and complications were compared between the two groups.Result:The operative time of FURL group was longer than that in PCNL group,the postoperative hospital stay was shorter than that in PCNL group,the hemoglobin decrease value was lower than that in PCNL group,and the stone clearance rate was lower than that in PCNL group,the differences were statistically significant(P<0.05).There were no significant differences in serum creatinine(Scr)and blood urea nitrogen(BUN)levels between the two groups before and 1 day after operation(P>0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion:Compared with PCNL,FURL has the characteristics of less blood loss volume and faster recovery,but PCNL has a high stone clearance rate,and both methods are effective for the treatment of 2-3 cm upper urinary tract stones.
Keywords：Percutaneous nephrolithotomyFlexible ureteroscopy lithotripsyUpper urinary tract stonesRenal function
Publication Date：2023-12-05
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 55-59 )