Clinical Curative Effect Comparison Of Percutaneous Nephrolithotomy And Flexible Ureteroscope Lithotripsy For The Treatment Of Renal Calculus?2cm

Objective:To compare the clinical curative effect of percutaneous nephrolithotomy (PCNL) and flexible ureteroscope lithotripsy (FURL) for the treatment of renal calculus?2cm.Methods:148 patients with kidney stone?2cm whom have taken operation treatment in our hospital were chosen from January 2014 to December 2014. Among them,81 patients were taken percutaneous nephrolithotomy treatment (PCNL group) and 67 patients were taken flexible ureteroscope lithotripsy treatment (FURL group). The operation time, first time stone clearance rate, postoperative hospital stay, postoperative Hb decrease, postoperative WBC and hs-CRP increase were compared.Results:There was no statistically significant difference in the comparison of stone clearance rate, fever rate and postoperative WBC increase (P>0.05); the operation time of PCNL group (64.21±11.71 min) was shorten than the FURL group (107.32±16.35 min), the postoperative hospital stay of PCNL group (6.51±1.92 d) was longer than the FURL group (3.28±1.24 d), the Hb decrease after operation of PCNL group (23.31 ± 2.71 g/L) was higher than the FURL group (3.88±2.10 g/L), the postoperative hs-CRP increase of PCNL group (14.21±1.62 mg/L) was higher than the FURL group (5.23±.14 mg/L), the differences between two groups were statistically significant (P<0.05).Conclusions:Both PCNL and FURL were the effective treatment of renal calculus, but for the treatment of renal calculus?2cm, the FURL has a great advantage on reducing postoperative complications, shorten postoperative hospital stay and decreasing the trauma of operation.