A.I. Sagalevich, Y.P. Semyak, Y. Roshchin, A.S. Fukszon, I.A. Derkach, A.I. Litvinov

Comparative analysis of eswl and pcnl in treatment of nephrolithiasis

In order to determine the optimal conditions for the use of a minimally invasive treatment for a comparative analysis of the results of 2 major minimally invasive treatment of nephrolithiasis in 110 patients who underwent PCNL and 982 patients after ESWL using lithotripters Siemens. In the group of patients with predominant PCNL calculi greater than 1cm, whereas in the group of patients with ESWL dominated calculi smaller than 1 cm in the same time, the relative number of patients with calculi size 1-1.5cm in both groups about the same: respectively 42.7% and 47.6% (p >0.05). A comparative analysis of the results and the performance features and PCNL ESWL patients were divided into groups by size of the stone.

The results provided a comparative analysis of the features and outcomes of nephrolithiasis solitary with ESWL and PCNL indicate that ESWL is the preferred treatment for kidney stones the size of 1 cm in all other cases, preference should be given PCNL.