Abstract：Objective: To make a comprehensive analysis on the clinical efficacy and safety of percutaneous nephrolithotomy (PCNL) vs. flexible ureteroscopy (FURL) in the treatment of kidney stones. Methods: Fifty-four cases of kidney stone were randomly selected from our hospital during the period from January 2015 to June 2017 and divided into PCNL group and FURL group according to the clinical protocol and treated with PCNL and FURL surgeries respectively. Stone clearance rate and surgical complications were compared between the two groups. Results: The stone clearance rate and time in the PCNL group were 96.30% and (4.5±0.2) weeks, and those in the FURL group were 100% and (6.1±1.5) weeks, respectively. Hemorrhage (3 cases), moderate fever after surgery (2 cases) and high fever with septic shock symptoms (1 case) occurred in the PCNL group, and no hemorrhage and ureteral perforation and four cases of fever occurred in the FURL group. There was significant difference in operative time, hemoglobin loss, blood loss and length of hospital stay (P<0.05) between the two groups. Conclusions: Long-term clinical researches have demonstrated that there is no significant difference in the stone clearance rate between PCNL and FURL surgeries. However, in terms of observation indexes in surgery, complications after surgery and length of hospital stay, FURL has obvious advantages.
周泽光, 刘成倍. 经皮肾镜与经输尿管软镜取石术在肾结石治疗中的的疗效及安全性分析[J]. 微创泌尿外科杂志, 2017, 6(6): 343-347.
Zhou Zeguang, Liu Chengbei. Analysis on the efficacy and safety of Percutaneous Nephrolithotomy versus Flexible Ureteroscopy in the treatment of kidney stones. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2017, 6(6): 343-347.
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