CT-guided percutaneous nephrostomy and ureteroscopic holmium laser lithotripsy in treatment of complex renal calculi: a report of 32 cases
10.3760/cma.j.issn.1671-7368.2010.10.020
- VernacularTitle:CT引导经皮输尿管镜下钬激光碎石治疗复杂肾结石32例分析
- Author:
Yuliang CHEN
;
Haibin YU
;
Xinghua LUO
;
Huaijun TANG
;
Tianyi XIE
;
Aijun SUN
- Publication Type:Journal Article
- Keywords:
Kidney calculi;
Tomography,X-ray computed
- From:
Chinese Journal of General Practitioners
2010;09(10):716-717
- CountryChina
- Language:Chinese
-
Abstract:
From August 2007 to January 2009 a total of 95 patients with complex renal calculi were treated with CT ( n = 32 ), X-ray ( n = 33 ) or ultrasound ( n = 30 ) guided percutaneous nephrostomy and ureteroscopic holmium laser lithotripsy respectively. The CT guided procedure had lower positioning time,positioning failure rate, complication rate and residual stone rate than those of X-ray and ultrasound localization, particularly had advantages in the stone clearance rate and complications rate ( all P ＜ 0. 05 ).CT guided localization can be chosen in the following conditions: higher kidney position, large staghorn calculi or renal pelvis stones without hydronephrosis, with congenital renal malformations or failure of ultrasound or X-ray localization.
