Comparison of 16F mini-tract percutaneous nephrolithotomy with holmium laser versus flexible ureteroscopy in the treatment of kidney stones(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2019年第12期
- Page:
- 1481-1485
- Research Field:
- 其他（激光医学等）
- Publishing date:
Info
- Title:
- Comparison of 16F mini-tract percutaneous nephrolithotomy with holmium laser versus flexible ureteroscopy in the treatment of kidney stones
- Author(s):
- MU Jianjun
- Panzhihua Central Hospital, Panzhihua 617067, China
- Keywords:
- Keywords: kidney stone; 16F mini-tract; percutaneous nephroscope; holmium laser; flexible ureteroscope
- PACS:
- R692.4
- DOI:
- DOI:10.3969/j.issn.1005-202X.2019.12.023
- Abstract:
- Abstract: Objective To analyze the therapeutic effects of 16F mini-tract percutaneous nephrolithotomy with holmium laser versus flexible ureteroscopy for the treatment of kidney stones. Methods A total of 90 patients with kidney stones (<2 cm) were selected as subjects, and randomly divided into observation group and control group, with 45 patients in each group. The patients in control group were treated with 16F mini-tract percutaneous nephrolithotomy with holmium laser, while those in observation group were treated with flexible ureteroscopy. The amount of bleeding, operation time, hemoglobin decline, hospitalization time, hospitalization cost, stone-free rate, blood urea nitrogen (BUN) level, serum creatinine (Cr) level and complications in two groups were observed. Results The intraoperative blood loss, hemoglobin decline, hospitalization time and hospitalization cost in observation group were (6.19±1.37) mL, (2.37±1.92) g/L, (4.26±1.04) d and (3 325.48±413.51) yuan, which were significantly lower than (24.38±6.52) mL, (7.76±5.83) g/L, (7.15±2.17) d and (4 226.15±546.82) yuan in control group, with significant differences (P<0.05). There was no significant difference between two groups in operation time (P>0.05). Observation group had a higher immediately postoperative stone-free rate than control group, with statistical significance (95.56% vs 82.22%; P<0.05), while the stone-free rate at 1 month postoperatively were similar in two groups (P>0.05). After surgery, the levels of BUN and Cr in observation group were higher than those in control group, with statistical differences ［(19.86±0.19) mmol/L vs (15.44±0.32) mmol/L, (315.08±10.84) μmol/L vs (267.29±19.25) μmol/L; P<0.05］. Moreover, the incidence of postoperative complications was significantly higher in control group (28.89%) than in observation group (8.89%), and the difference was statistically significant (P<0.05). Conclusion Compared with 16F mini-tract percutaneous nephrolithotomy with holmium laser, flexible ureteroscopy for the treatment of kidney stones with a diameter of <2 cm has the advantages of less intraoperative blood loss, less trauma, quick recovery and fewer complications, and therefore flexible ureteroscopy should be further promoted in clinic.
Last Update: 2019-12-26