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| Observation of Perioperative Related Indicators and Short-term Curative Effect of PCNL and RIRS in the Treatment of Isolated Kidney Stone |
| YiNing, HANPing, LIYong-hong |
| Nephrology department,Shizhong county people's hospital. Zizhong 641200, Sichuan Province, China |
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Abstract 【Objective】 To compare the perioperative related indicators and short-term efficacy of percutaneous nephrolithotomy (PCNL) and ureteroscopy (RIRS) in the treatment of isolated kidney stones. 【Methods】 A total of 96 patients with isolated kidney stones were random divided into group A(PCNL) and group B(RIRS),with 48 cases in each group. Levels of serum interleukin 6 (IL-6), C-reactive protein (CRP), white blood cell count (WBC), and cortisol (Cor) in the morning before surgery and on the 1th day after surgery were detected. The procedure of operation was monitored. The VAS pain scores of resting state and active state at different time points after surgery, primary stone clearance rate, total clearance rate, and total incidence of complications were compared between two groups. 【Results】 The operation time of group A was shorter than that of B group (P<0.05), while the intraoper-ative blood loss, gastrointestinal function recovery time and hospitalization time were higher than those in B group (P<0.05). The levels of serum IL-6, CRP, WBC and Cor in group B were lower than those in group A (P<0.05). The VAS scores of resting state and active state in the group B at 1d, 2d and3d after surgery were lower than those in the A group (P<0.05). The one-time primary stone clearance rate , total clearance rate and the total incidence of complications in group A were 81.25%, 93.75% and18.75%, respectively, which were not significantly different in comparison with those in group B, which were 72.92%、85.42% and 20.83%, respectively (P>0.05). 【Conclusion】 RIRS can achieve the equivalent overall effect of PCNL; however, RIRS has less intraoperative bleeding , shorter hospital stay, and reduced pain and inflammation. It can be used as a preferred treatment under the premise of grasping the surgical indications.
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Received: 05 March 2018
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2018, Vol. 35 
