Xu XJ, Zhang J, Li M, Hou JQ. Clinical study on the minimally invasive percutaneous nephrolithotomy treatment of upper urinary calculi. World J Clin Cases 2022; 10(4): 1198-1205 [PMID: 35211553 DOI: 10.12998/wjcc.v10.i4.1198]
Corresponding Author of This Article
Jian-Quan Hou, MD, Chief Physician, Department of Urology, The First Affiliated Hospital of Soochow University, No. 188 Shizi Road, Suzhou 215006, Jiangsu Province, China. houjianquan2011@163.com
Research Domain of This Article
Urology & Nephrology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Clin Cases. Feb 6, 2022; 10(4): 1198-1205 Published online Feb 6, 2022. doi: 10.12998/wjcc.v10.i4.1198
Table 1 Comparison of the general conditions of the two groups of patients during the perioperative period
Group
Case
Operation time (min)
Intraoperative blood loss (mL)
PCNL group
40
92.68 ± 6.39
148.79 ± 10.03
mPCNL group
40
150.42 ± 8.48
84.25 ± 6.54
t value
-34.392
34.090
P value
< 0.001
< 0.001
Table 2 Comparison of renal function indexes of the two groups of patients before and after treatment
Group
Cr (μmol/L)
BMG (ng/L)
RBP (mg/L)
Before therapy
After treatment
Before therapy
After treatment
Before therapy
After treatment
PCNL group
124.35 ± 8.11
124.36 ± 7.42
3.16 ± 1.01
3.15 ± 0.22
55.34 ± 5.68
55.38 ± 6.03
mPCNL group
124.33 ± 7.45
124.37 ± 5.88
3.15 ± 0.98
3.17 ± 0.38
55.32 ± 4.97
55.35 ± 7.49
t value
0.011
-0.007
0.045
-0.288
0.017
0.020
P value
0.495
0.497
0.482
0.387
0.493
0.492
Table 3 Comparison of pain and clearance rate between the two groups
Group
Case
VAS
Clearance rate, n (%)
PCNL group
40
3.52 ± 0.61
40 (100.00)
mPCNL group
40
2.27 ± 0.22
39 (97.50)
t/χ2 value
12.191
1.013
P value
< 0.001
0.314
Table 4 Comparison of the incidence of complications between the two groups of patients
Group
Case
Urine extravasation
Difficulty breathing
Damage to surrounding organs
Total incidence
PCNL group
40
2
0
1
3
mPCNL group
40
1
0
0
1
χ2 value
1.053
P value
0.305
Table 5 Comparison of postoperative recovery of the two groups of patients
Group
QOL
Qmax
1 mo after treatment
3 mo after treatment
1 mo after treatment
3 mo after treatment
PCNL group
1.95 ± 0.34
1.76 ± 0.24
12.86 ± 1.44
15.38 ± 2.54
mPCNL group
1.68 ± 0.52
1.55 ± 0.31
15.73 ± 1.72
18.36 ± 2.19
t value
2.749
3.388
8.092
5.620
P value
0.007
0.001
< 0.001
< 0.001
Citation: Xu XJ, Zhang J, Li M, Hou JQ. Clinical study on the minimally invasive percutaneous nephrolithotomy treatment of upper urinary calculi. World J Clin Cases 2022; 10(4): 1198-1205