23 November 2023: Clinical Research
Comparative Analysis of Super-Mini Percutaneous Nephrolithotomy Combined with Flexible Ureteroscopic Lithotripsy versus Flexible Ureteroscopic Lithotripsy Alone for Treating Complex Kidney Stones: A Retrospective Study of 205 Patients
Qi Ding ABCDE* , Hailiang Zhu BCD* , Zhijiang Fan CD , Feng Li DE , Wenjian Tu BC , Xiaohua Jin CD , Bo Fan ABCDFG*DOI: 10.12659/MSM.941012
Med Sci Monit 2023; 29:e941012
Table 1 Comparison of clinical data for patients with complex kidney stones (n=205) who underwent SMP combined with FURL (Group A) (n=92) and clinical data for those who underwent FURL alone (Group B) (n=113).
| Variable | Group A (n=92) | Group B (n=113) | P-value |
|---|---|---|---|
| Age | 55.71±11.64 | 55.92±12.06 | 0.902 |
| Gender | 0.264 | ||
| Male | 56 (60.87%) | 60 (53.10%) | |
| Female | 36 (39.13%) | 53 (46.90%) | |
| BMI | 24.29±3.53 | 24.41±3.65 | 0.801 |
| Stone side | 0.532 | ||
| Left | 44 (47.83%) | 59 (52.21%) | |
| Right | 48 (52.17%) | 54 (47.79%) | |
| Stone CT value | 943.72±295.97 | 873.76±318.94 | 0.110 |
| Stone size(cm) | 2.7 (2.5–3.2) | 2.7 (2.5–3.0) | 0.873 |
| Degree of hydronephrosis | 0.651 | ||
| 0 level | 11 (11.96%) | 10 (8.85%) | |
| 1 level | 42 (45.65%) | 58 (51.33%) | |
| 2 level | 18 (19.57%) | 25 (22.12%) | |
| 3 level | 21 (22.83%) | 20 (17.70%) | |
| Urine culture positive rate | 20 (21.74%) | 15 (13.27%) | 0.109 |
| Surgical history of urinary stones | 0.468 | ||
| Yes | 20 (21.74%) | 20 (17.70%) | 0.926* |
| ESWL | 7 (7.61%) | 9 (7.96%) | |
| Laparoscopic lithotomy | 2 (2.17%) | 1 (0.89%) | |
| PCNL | 4 (4.35%) | 3 (2.65%) | |
| URSL | 5 (5.44%) | 4 (3.54%) | |
| FURL | 2 (2.17%) | 3 (2.66%) | |
| No | 72 (78.26%) | 93 (82.30%) | |
| Hypertension | 0.322 | ||
| Yes | 36 (39.13%) | 52 (46.02%) | |
| No | 56 (60.87%) | 61 (53.98%) | |
| Diabetes | 0.925 | ||
| Yes | 7 (7.61%) | 9 (7.96%) | |
| No | 85 (92.39%) | 104 (92.04%) | |
| * Fisher’s exact test. BMI – body mass index; CT – computed tomography; ESWL – extracorporeal shock wave lithotripsy; PCNL – percutaneous nephrolithotomy; URSL – ureteroscope lithotripsy; FURL – flexible ureteroscopic lithotripsy; SMP – super-mini percutaneous nephrolithotomy. | |||