Abstract：Objective： To investigate the clinical efficacy and safety of MPCNL and FURS for pyelolithiasis with diameter of 2-3 cm. Methods： The clinical data of 173 cases of pyelolithiasis with diameter of 2-3 cm were retrospectively analyzed in the period from January 2016 to January 2019 in our hospital. The patients were divided into two groups including MPCNL group (n=93 given MPCNL) and FURS group (n=80 given FURS). The lithiasis clearance rate, the levels of surgical related indicators, inflammatory related factors after operation and incidence of postoperative complications were compared between two groups. Results： There was no significant difference in the lithiasis clearance rate between 2 groups (P > 0.05). The operation time and total treatment cost in FURS group were significantly increased as compared with those in MPCNL group (P < 0.05). The Hb decline level and hospitalization time in FURS group were significantly reduced as compared with those in MPCNL group (P < 0.05). There was no significant difference in the inflammatory related factors and the incidence of postoperative complications after operation between 2 groups (all P > 0.05). Conclusion： Compared with MPCNL, FURS in the treatment of pyelolithiasis with diameter of 2-3 cm possesses the same lithiasis clearance effects and safety, and can efficiently alleviate iatrogenic trauma degree and shorten hospitalization time.
吴运海, 郝强, 胡彬, 贾洪涛. 微通道经皮肾镜碎石术和输尿管软镜碎石术治疗直径2~3 cm单发肾盂结石的疗效及安全性研究[J]. 微创泌尿外科杂志, 2020, 9(3): 166-170.
WU Yunhai, HAO Qiang, HU Bin, JIA Hongtao. Clinical efficacy and safety of MPCNL and FURS for pyelolithiasis with diameter of 2-3 cm. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2020, 9(3): 166-170.
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