预先精准穿刺双通道期经皮肾镜术治疗鹿角形肾结石的应
用研究
欧阳磊;刘辉;廖国强;万建省;刘峰;王伟峰;郝继东;邓晓俊;刘四明;邹源;杨波
【期刊名称】《国际泌尿系统杂志》 【年(卷),期】2019(039)002
【摘要】Objective To discuss the effectiveness and security of preestablished precision dual-channel guided by B-ultrasound in one-stage percutaneous nephrolithotomy (PCNL) in the treatment of staghorn calculi.Methods The materials of 23 patients with staghorn calculi treated by preestablished precision dual-channel one-stage PCNL
between
April
2015
to
June
2017
were
analyzed
retrospectively.Results Totally 23 PCNL cases were all succeeded,with no double kidney surgery in the same time.Dual-channel were established successfully in every single kidney with staghorn calculi.The operation time was 53-157 minutes,average (76.0 ± 16.4)min.The time of dual-channel percutaneous nephrostomy was 7-21 minutes,average (11.0 ± 3.2)min.The hemoglobin at 2 hours after surgery decreased 14.5-42.3 g/L,average(26.7 ± 10.2) g/L.The stone clear rate was 78.2％ (18/23) at one-stage.Complications Clavien-Dindo grade Ⅰ occurred in 5 cases (21.7％),grade Ⅱ in 3 cases(13.0％).No massive hemorrhage occurred in operation and no cases needed interventional therapy.Conclusions Prior puncture can improve the success rate for establishing the second
预先精准穿刺双通道期经皮肾镜术治疗鹿角形肾结石的应用研究
