首页> 中文期刊> 《世界临床病例杂志》 >Retrograde intrarenal surgery vs miniaturized percutaneous nephrolithotomy to treat lower pole renal stones 1.5-2.5 cm in diameter

Retrograde intrarenal surgery vs miniaturized percutaneous nephrolithotomy to treat lower pole renal stones 1.5-2.5 cm in diameter

         

摘要

AIM To compare the outcomes of retrograde intrarenal surgery(RIRS)and miniaturized percutaneous nephrolithotomy(mini-PCNL)in treating lower pole(LP)renal stones with a diameter of 1.5-2.5 cm.METHODS A total of 216 patients who underwent mini-PCNL(n=103)or RIRS n=113)for LP stones with a diameter of 1.5-2.5 cm were enrolled between December 2015 and April 2017 at the Urology Department of Ningbo Urology and Nephrology Hospital.RESULTS Significant differences were found in the hospital stay(9.39±4.01 vs 14.08±5.26,P<0.0001)and hospitalization costs(2624.5±513.36 vs 3255.2±976.5,P<0.0001)between the RIRS and mini-PCNL groups.The mean operation time was not significantly different between the RIRS group(56.48±24.77)and the mini-PCNL group(60.04±30.38,P=0.345).The stone-free rates at the first postoperative day(RIRS vs mini-PCNL:90.2%vs 93.2%,P=0.822)and the second month postoperatively(RIRS vs mini-PCNL:93.8%vs 95.1%,P=0.986)were not significantly different.CONCLUSION RIRS and mini-PCNL are both safe and effective methods for treating LP stones with a diameter of 1.5-2.5 cm.RIRS can be considered as an alternative to PCNL for the treatment for LP stones of 1.5-2.5 cm.

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