Title: Clinical Results of Minimally Invasive Percutaneous Nephrolithotomy and Transurethral Ureteroscopic Lithotripsy on Treatment of Upper Ureteric Calculi
Abstract: Objective To observe the clinical results and risks of minimally invasive percutaneous nephrolithotomy and transurethral ureteroscopic lithotripsy on treatment of upper ureteric calculi.Methods 141 patients with upper ureteric calculi accepted minimal invasive treatment in our department,72 of them accepted the therapy of transurethral ureteroscopic lithotripsy,and 69 accepted minimally invasive percutaneous nephrolithotomy(MPCNL),and the success rate,clearance rate of stone in first time of operation,rate of complications,hospitalization time and hospitalization expenses were compared between these 2 groups.Results The success rate of transurethral ureteroscopic lithotripsy group was 99%,and that of MPCNL group was 100%.The clearance rate in first time of operation of transurethral ureteroscopic lithotripsy group was 61%,and that of MPCNL group was 77%,and the difference is significant(P0.05).The rate of complications of transurethral ureteroscopic lithotripsy group was 7%,and that of MPCNL group was 16%,the difference is insignificant(P0.05).The average hospitalization time of transurethral ureteroscopic lithotripsy group was 7±4.0 days,and that of MPCNL group was 11±3.0days,the difference is significant(P0.01).The average hospitalization expenses of transurethral ureteroscopic lithotripsy group was 6558±860 Chinese dollar,and that of MPCNL group was 11230±2045 Chinese dollar,the difference is significant(P0.01).Conclusion When compared with MPCNL,transurethral ureteroscopic lithotripsy can get a lower rate of success and clearance of stone,however,this operation deserves performing at first for its advantage in safety,hospitalization time and hospitalization expenses.
Publication Year: 2012
Publication Date: 2012-01-01
Language: en
Type: article
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