| Summary: | Objective: To study the differences in the curative effect and serum indexes of ultrasonic
pneumatic and holmium laser technology for percutaneous nephrolithotomy treatment of
complex renal calculus. Methods: A total of 78 patients with complex renal calculus who
accepted surgical treatment in our hospital between May 2011 and January 2016 were
collected, the operation methods and test results were reviewed, and then they were divided
into the observation group (n=34) who accepted ultrasonic pneumatic treatment and the control
group (n=44) who accepted holmium laser treatment. Ⅰstage stone clearance rate of two
groups of patients were recorded; serum was collected, sarcosine oxidase method was used
to detect serum renal function indexes, and ELISA method was used to detect the levels of
inflammatory factors and stress hormones. Results: The mean lithotomy time of observation
group was shorter than that of control group; differences in Ⅰstage stone clearance rate were
not statistically significant between two groups of patients. 3 d after operation, serum renal
function indexes Scr, BUN and CysC levels of observation group were lower than those of
control group; serum inflammatory factors PCT, IL-1β, IL-22 and IL-13 levels of observation
group were lower than those of control group while IL-4 level was higher than that of control
group; serum stress hormones AngⅠ, AngⅡ, Adr and NE levels of observation group were
lower than those of control group. Conclusion: Both ultrasonic pneumatic and holmium laser
technology can effectively remove complex renal calculus and ultrasonic pneumatic technology
has the advantages of quicker operation and less injury.
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