The Value of Hounsfield Unit in Retrograde Intrarenal Surgery Versus Percutaneous Nephrolithotomy for the Treatment of Renal Stone of 2-3 cm: A Single-center Prospective Pilot Study
| العنوان: | The Value of Hounsfield Unit in Retrograde Intrarenal Surgery Versus Percutaneous Nephrolithotomy for the Treatment of Renal Stone of 2-3 cm: A Single-center Prospective Pilot Study |
|---|---|
| المؤلفون: | Wang Fei, Teng Ma, Li Yang, Junsheng Bao, Yuzhuo Li, Gupta Sanjay, Qiqi He, Zhiping Wang |
| المصدر: | Clinical surgery research communications. 5:1-10 |
| بيانات النشر: | Ant Publishing, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Renal stone, medicine.diagnostic_test, business.industry, medicine.medical_treatment, General Engineering, Treatment options, Computed tomography, medicine.disease, Single Center, Surgery, Hounsfield scale, medicine, Kidney stones, Percutaneous nephrolithotomy, business, Hospital stay |
| الوصف: | Background: To determine whether the Hounsfield Unit (HU) value of no-contrast computer computed tomography (NCCT) might offer better guidance in the selection of RIRS or PCNL in renal stones of 2-3 cm. Methods: A total of 158 patients with kidney stones (2-3 cm) who underwent PCNL/RIRS from March 2016 to January 2019 were enrolled in this study. Age, gender, stone sizes, locations, average HU value of stones, surgery time, hospital stay time, stone-free rate, and complications at the time of hospitalization and 3-month follow-up were measured to identify the surgery efficiency. Results: Upon consideration of the HU value, the mean surgery time was significantly decreased in RIRS comparing to the control RIRS (cRIRS) group (47.73 ± 15.52 vs. 72.41 ± 27.71 min, P < 0.05). Statistically, the surgery time was strongly influenced by the HU values both in RIRS (OR 93.8, P < 0.01) and PCNL (OR 8.21, P < 0.05). HU values proved to have a strong positive relation with surgery time in RIRS while a low positive relation in PCNL (P < 0.05). Conclusion: Overall, for renal stones of 2-3 cm, RIRS might be a safe and efficacious treatment option if the HU value and other parameters could be comprehensively accounted for. Individual precision surgery might provide ideal treatment and prognosis for patients requiring long-term continuous clinical procedures. Keywords: Hounsfield unit, retrograde intrarenal surgery, percutaneous nephrolithotomy, renal stones. |
| تدمد: | 2573-0096 2573-0088 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_________::38e0e0f2e9b539c303648ed562c0ac3dTest https://doi.org/10.31491/csrc.2021.09.077Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi...........38e0e0f2e9b539c303648ed562c0ac3d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 25730096 25730088 |
|---|